Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.33 / $424.33 / $428.85	Facility		$424.33	$424.33	$428.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.94 / $424.33 / $428.85	Professional		$386.94	$424.33	$428.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $804.58 / $804.58 / $854.46	Facility		$804.58	$804.58	$854.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.77 / $391.77 / $521.64	Professional		$391.77	$391.77	$521.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $431.00 / $550.00	Professional		$431.00	$431.00	$550.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $402.56	Facility		$402.56	$402.56	$402.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $293.87 / $402.56	Professional		$293.87	$293.87	$402.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.21 / $724.12 / $965.50	Professional		$563.21	$724.12	$965.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $207.50 / $484.60 / $902.73	Facility		$207.50	$484.60	$902.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $362.00 / $1,056.82 / $1,340.17	Professional		$362.00	$1,056.82	$1,340.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $440.80 / $607.20 / $1,005.73	Facility		$440.80	$607.20	$1,005.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $440.80 / $607.20 / $1,005.73	Professional		$440.80	$607.20	$1,005.73
United Facility/Professional Professional Modifier Low / Median / High Price $362.75 / $401.39 / $575.84	Professional		$362.75	$401.39	$575.84