Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.26 / $403.26 / $407.55	Facility		$403.26	$403.26	$407.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.93 / $403.26 / $534.74	Professional		$374.93	$403.26	$534.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.61 / $764.61 / $812.02	Facility		$764.61	$764.61	$812.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.16 / $462.16 / $598.54	Professional		$462.16	$462.16	$598.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $410.00 / $410.00	Professional		$410.00	$410.00	$410.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.70 / $663.31 / $663.31	Facility		$408.70	$663.31	$663.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $484.22 / $663.31	Professional		$484.22	$484.22	$663.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.23 / $688.15 / $917.53	Professional		$535.23	$688.15	$917.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $244.96 / $484.98 / $879.30	Facility		$244.96	$484.98	$879.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $428.00 / $1,004.32 / $1,273.59	Professional		$428.00	$1,004.32	$1,273.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $418.91 / $574.60 / $955.76	Facility		$418.91	$574.60	$955.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $418.91 / $574.60 / $955.76	Professional		$418.91	$574.60	$955.76
United Facility/Professional Professional Modifier Low / Median / High Price $344.76 / $381.46 / $584.71	Professional		$344.76	$381.46	$584.71