Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.74 / $451.74 / $456.54	Facility		$451.74	$451.74	$456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.16 / $451.74 / $470.83	Professional		$417.16	$451.74	$470.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.52 / $856.52 / $909.62	Facility		$856.52	$856.52	$909.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.72 / $476.72 / $609.92	Professional		$476.72	$476.72	$609.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $521.08 / $521.08 / $585.52	Professional		$521.08	$521.08	$585.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $624.54	Facility		$624.54	$624.54	$624.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $455.91 / $624.54	Professional		$455.91	$455.91	$624.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.55 / $770.87 / $1,027.82	Professional		$599.55	$770.87	$1,027.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $252.48 / $526.78 / $957.03	Facility		$252.48	$526.78	$957.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.60 / $1,125.05 / $1,426.69	Professional		$645.60	$1,125.05	$1,426.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $469.27 / $658.47 / $1,094.26	Facility		$469.27	$658.47	$1,094.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $469.27 / $658.47 / $1,094.26	Professional		$469.27	$658.47	$1,094.26
United Facility/Professional Professional Modifier Low / Median / High Price $391.10 / $427.31 / $620.28	Professional		$391.10	$427.31	$620.28