Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.79 / $619.79 / $619.79	Facility		$619.79	$619.79	$619.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.64 / $619.79 / $905.45	Professional		$550.64	$619.79	$905.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,030.43 / $1,030.43 / $1,030.43	Facility		$1,030.43	$1,030.43	$1,030.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.58 / $803.58 / $803.58	Professional		$803.58	$803.58	$803.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $833.69 / $833.69 / $833.69	Professional		$833.69	$833.69	$833.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $897.30	Facility		$670.25	$670.25	$897.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.71 / $670.25 / $897.30	Professional		$569.71	$670.25	$897.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.82 / $876.99 / $1,159.57	Professional		$730.82	$876.99	$1,159.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $646.39 / $879.08 / $1,035.70	Facility		$646.39	$879.08	$1,035.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,357.41 / $1,357.41 / $1,357.41	Professional		$1,357.41	$1,357.41	$1,357.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $161.60 / $1,292.77	Facility		$70.23	$161.60	$1,292.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $161.60 / $1,292.77	Professional		$70.23	$161.60	$1,292.77
United Facility/Professional Professional Modifier Low / Median / High Price $543.40 / $649.73 / $1,034.22	Professional		$543.40	$649.73	$1,034.22