Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.10 / $596.90 / $596.90	Facility		$494.10	$596.90	$596.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.10 / $596.90 / $664.33	Professional		$494.10	$596.90	$664.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,207.24 / $1,207.24 / $1,282.08	Facility		$1,207.24	$1,207.24	$1,282.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.43 / $661.43 / $859.92	Professional		$661.43	$661.43	$859.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $673.96 / $673.96 / $825.27	Professional		$673.96	$673.96	$825.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $756.07	Facility		$756.07	$756.07	$756.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $551.92 / $756.07	Professional		$551.92	$551.92	$756.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.07 / $1,086.52 / $1,448.69	Professional		$845.07	$1,086.52	$1,448.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $355.96 / $732.77 / $1,354.54	Facility		$355.96	$732.77	$1,354.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $872.47 / $1,509.05 / $2,010.87	Professional		$872.47	$1,509.05	$2,010.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $103.69 / $871.17 / $1,337.45	Facility		$103.69	$871.17	$1,337.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $865.51 / $1,370.17	Professional		$103.69	$865.51	$1,370.17
United Facility/Professional Professional Modifier Low / Median / High Price $509.80 / $602.27 / $907.25	Professional		$509.80	$602.27	$907.25