Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.87 / $391.87 / $396.04	Facility		$391.87	$391.87	$396.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $391.87 / $402.53	Professional		$316.89	$391.87	$402.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.02 / $743.02 / $789.09	Facility		$743.02	$743.02	$789.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.79 / $448.79 / $561.03	Professional		$448.79	$448.79	$561.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $416.40 / $507.93	Professional		$398.00	$416.40	$507.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $418.79	Facility		$418.79	$418.79	$418.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $305.72 / $418.79	Professional		$305.72	$305.72	$418.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.11 / $668.72 / $891.62	Professional		$520.11	$668.72	$891.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.86 / $471.29 / $854.47	Facility		$215.86	$471.29	$854.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $422.00 / $975.96 / $1,237.64	Professional		$422.00	$975.96	$1,237.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.08 / $558.38 / $928.78	Facility		$407.08	$558.38	$928.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.08 / $558.38 / $928.78	Professional		$407.08	$558.38	$928.78
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $335.03 / $370.69 / $531.79	Professional		$335.03	$370.69	$531.79