Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Facility		$489.78	$489.78	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $616.60	Professional		$489.78	$489.78	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,318.26	Professional		$776.25	$776.25	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $758.58	Professional		$489.78	$489.78	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $489.78	Facility		$457.09	$457.09	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $891.25	Professional		$120.23	$173.78	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $977.24	Facility		$489.78	$512.86	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $489.78 / $933.25	Professional		$109.65	$489.78	$933.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $812.83 / $1,862.09	Facility		$645.65	$812.83	$1,862.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,862.09	Professional		$645.65	$812.83	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $489.78 / $977.24	Professional		$125.89	$489.78	$977.24