Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $840.48 / $840.48	Facility		$624.36	$840.48	$840.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $624.36 / $624.36	Professional		$587.63	$624.36	$624.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.01 / $521.98 / $1,121.31	Facility		$381.01	$521.98	$1,121.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $587.63 / $824.00	Professional		$587.63	$587.63	$824.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.14 / $927.80 / $1,142.66	Professional		$830.14	$927.80	$1,142.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $734.54 / $950.90	Facility		$624.36	$734.54	$950.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $734.54 / $734.54 / $734.54	Professional		$734.54	$734.54	$734.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $612.11 / $697.81 / $918.17	Facility		$612.11	$697.81	$918.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $697.81 / $918.17	Professional		$612.11	$697.81	$918.17
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $649.45	Professional		$612.11	$612.11	$649.45