Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.20 / $353.20 / $356.96	Facility		$353.20	$353.20	$356.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.39 / $353.20 / $386.90	Professional		$328.39	$353.20	$386.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.70 / $669.70 / $711.22	Facility		$669.70	$669.70	$711.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.22 / $411.22 / $514.05	Professional		$411.22	$411.22	$514.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $359.00 / $359.00 / $457.80	Professional		$359.00	$359.00	$457.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $528.47	Facility		$528.47	$528.47	$528.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $385.78 / $528.47	Professional		$385.78	$385.78	$528.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.79 / $602.73 / $803.64	Professional		$468.79	$602.73	$803.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.78 / $413.24 / $762.33	Facility		$204.78	$413.24	$762.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $879.65 / $1,115.50	Professional		$387.00	$879.65	$1,115.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $366.91 / $503.27 / $837.13	Facility		$366.91	$503.27	$837.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $366.91 / $503.27 / $837.13	Professional		$366.91	$503.27	$837.13
United Facility/Professional Professional Modifier Low / Median / High Price $313.22 / $334.10 / $488.80	Professional		$313.22	$334.10	$488.80