Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $1,479.11	Facility		$316.23	$398.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $691.83	Professional		$338.84	$407.38	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $912.01	Professional		$446.68	$446.68	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Professional		$501.19	$501.19	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $446.68	Facility		$302.00	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $446.68	Professional		$380.19	$380.19	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,047.13	Professional		$524.81	$758.58	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $741.31	Professional		$389.05	$501.19	$741.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $977.24	Facility		$338.84	$549.54	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $489.78	Professional		$407.38	$489.78	$489.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $1,096.48	Facility		$407.38	$602.56	$1,096.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,096.48	Professional		$407.38	$602.56	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $478.63 / $562.34	Facility		$275.42	$478.63	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $562.34	Professional		$346.74	$371.54	$562.34