Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.14 / $583.66 / $583.66	Facility		$483.14	$583.66	$583.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.14 / $583.66 / $649.63	Professional		$483.14	$583.66	$649.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.47 / $1,180.47 / $1,253.66	Facility		$1,180.47	$1,180.47	$1,253.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.04 / $657.04 / $840.65	Professional		$657.04	$657.04	$840.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $659.01 / $659.01 / $806.96	Professional		$659.01	$659.01	$806.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $782.41	Facility		$782.41	$782.41	$782.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $571.16 / $782.41	Professional		$571.16	$571.16	$782.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.33 / $1,062.42 / $1,416.56	Professional		$826.33	$1,062.42	$1,416.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $347.99 / $690.89 / $1,318.97	Facility		$347.99	$690.89	$1,318.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $1,475.59 / $1,966.28	Professional		$680.00	$1,475.59	$1,966.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $646.74 / $914.76 / $1,443.45	Facility		$646.74	$914.76	$1,443.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $646.74 / $914.76 / $1,443.45	Professional		$646.74	$914.76	$1,443.45
United Facility/Professional Professional Modifier Low / Median / High Price $498.37 / $588.91 / $884.86	Professional		$498.37	$588.91	$884.86