Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $457.09	Facility		$446.68	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $741.31	Professional		$371.54	$446.68	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $933.25	Facility		$870.96	$870.96	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,000.00	Professional		$478.63	$478.63	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $602.56	Professional		$524.81	$524.81	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $630.96	Facility		$371.54	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $630.96	Professional		$457.09	$457.09	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,230.27	Professional		$616.60	$870.96	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $575.44	Professional		$446.68	$575.44	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,096.48	Facility		$371.54	$630.96	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $575.44	Professional		$467.74	$524.81	$575.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $2,511.89	Facility		$467.74	$724.44	$2,511.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $2,511.89	Professional		$467.74	$724.44	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $1,258.93	Facility		$295.12	$588.84	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $645.65	Professional		$389.05	$426.58	$645.65