Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.73 / $444.73 / $449.46	Facility		$444.73	$444.73	$449.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.49 / $444.73 / $481.70	Professional		$413.49	$444.73	$481.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.24 / $843.24 / $895.52	Facility		$843.24	$843.24	$895.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $510.00 / $637.54	Professional		$510.00	$510.00	$637.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $513.00 / $576.44	Professional		$513.00	$513.00	$576.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $528.74	Facility		$528.74	$528.74	$528.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $385.98 / $528.74	Professional		$385.98	$385.98	$528.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.27 / $758.92 / $1,011.89	Professional		$590.27	$758.92	$1,011.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $518.62 / $959.88	Facility		$258.31	$518.62	$959.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $624.50 / $1,107.59 / $1,404.57	Professional		$624.50	$1,107.59	$1,404.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $461.99 / $648.27 / $1,077.31	Facility		$461.99	$648.27	$1,077.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $461.99 / $648.27 / $1,077.31	Professional		$461.99	$648.27	$1,077.31
United Facility/Professional Professional Modifier Low / Median / High Price $394.40 / $420.68 / $633.71	Professional		$394.40	$420.68	$633.71