Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $398.11 / $398.11	Facility		$389.05	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $630.96	Professional		$295.12	$389.05	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $812.83	Facility		$758.58	$758.58	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $933.25	Professional		$446.68	$446.68	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $524.81	Professional		$398.11	$398.11	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $416.87 / $416.87	Facility		$338.84	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,071.52	Professional		$524.81	$758.58	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $741.31	Professional		$338.84	$501.19	$741.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $977.24	Facility		$316.23	$537.03	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $489.78	Professional		$398.11	$407.38	$489.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $616.60 / $1,621.81	Facility		$407.38	$616.60	$1,621.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,621.81	Professional		$407.38	$616.60	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $501.19 / $912.01	Facility		$251.19	$501.19	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $562.34	Professional		$338.84	$371.54	$562.34