Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.60 / $370.60 / $374.54	Facility		$370.60	$370.60	$374.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.57 / $370.60 / $401.40	Professional		$344.57	$370.60	$401.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $702.69 / $702.69 / $746.26	Facility		$702.69	$702.69	$746.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.98 / $424.98 / $531.26	Professional		$424.98	$424.98	$531.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $427.48 / $427.48 / $480.35	Professional		$427.48	$427.48	$480.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $564.36	Facility		$564.36	$564.36	$564.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $411.98 / $564.36	Professional		$411.98	$411.98	$564.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $632.41 / $843.23	Professional		$491.88	$632.41	$843.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $432.16 / $799.89	Facility		$215.25	$432.16	$799.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $520.40 / $922.99 / $1,170.45	Professional		$520.40	$922.99	$1,170.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $384.98 / $540.20 / $897.72	Facility		$384.98	$540.20	$897.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $384.98 / $540.20 / $897.72	Professional		$384.98	$540.20	$897.72
United Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $350.56 / $513.79	Professional		$316.83	$350.56	$513.79