Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.71 / $339.71 / $343.33	Facility		$339.71	$339.71	$343.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.37 / $339.71 / $383.39	Professional		$312.37	$339.71	$383.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $644.13 / $644.13 / $684.07	Facility		$644.13	$644.13	$684.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.98 / $389.98 / $505.73	Professional		$389.98	$389.98	$505.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $345.00 / $440.32	Professional		$345.00	$345.00	$440.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $412.94	Facility		$412.94	$412.94	$412.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $412.94	Professional		$301.45	$301.45	$412.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.89 / $579.72 / $772.96	Professional		$450.89	$579.72	$772.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $205.60 / $408.56 / $733.23	Facility		$205.60	$408.56	$733.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $846.06 / $1,072.91	Professional		$410.00	$846.06	$1,072.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $352.90 / $486.12 / $805.16	Facility		$352.90	$486.12	$805.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $352.90 / $486.12 / $805.16	Professional		$352.90	$486.12	$805.16
United Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $321.35 / $490.75	Professional		$305.27	$321.35	$490.75