Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.78 / $417.78 / $422.23	Facility		$417.78	$417.78	$422.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.82 / $417.78 / $435.46	Professional		$385.82	$417.78	$435.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $792.16 / $792.16 / $841.27	Facility		$792.16	$792.16	$841.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.91 / $440.91 / $564.12	Professional		$440.91	$440.91	$564.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $441.64 / $441.64 / $541.51	Professional		$441.64	$441.64	$541.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $525.23	Facility		$525.23	$525.23	$525.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $383.42 / $525.23	Professional		$383.42	$383.42	$525.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.51 / $712.94 / $950.59	Professional		$554.51	$712.94	$950.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.20 / $487.18 / $885.11	Facility		$245.20	$487.18	$885.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $613.24 / $1,040.51 / $1,319.48	Professional		$613.24	$1,040.51	$1,319.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $446.48 / $608.98 / $990.20	Facility		$446.48	$608.98	$990.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $446.48 / $608.98 / $990.20	Professional		$446.48	$608.98	$990.20
United Facility/Professional Professional Modifier Low / Median / High Price $361.72 / $395.20 / $595.30	Professional		$361.72	$395.20	$595.30