Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $758.58	Professional		$354.81	$467.74	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $954.99	Facility		$912.01	$912.01	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $977.24	Professional		$467.74	$467.74	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $616.60	Professional		$478.63	$478.63	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $501.19 / $501.19	Facility		$363.08	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $501.19	Professional		$363.08	$363.08	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,258.93	Professional		$630.96	$912.01	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $891.25	Professional		$407.38	$588.84	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $645.65 / $1,202.26	Facility		$371.54	$645.65	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $489.78 / $588.84	Professional		$457.09	$489.78	$588.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $741.31 / $1,949.84	Facility		$489.78	$741.31	$1,949.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,949.84	Professional		$489.78	$741.31	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $575.44 / $1,047.13	Facility		$257.04	$575.44	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $660.69	Professional		$398.11	$446.68	$660.69