Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $1,380.38	Facility		$436.52	$537.03	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,122.02	Professional		$446.68	$602.56	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,174.90	Facility		$1,096.48	$1,096.48	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,380.38	Professional		$660.69	$660.69	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $758.58	Professional		$602.56	$602.56	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $707.95	Facility		$512.86	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $707.95	Professional		$524.81	$524.81	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,548.82	Professional		$776.25	$1,096.48	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,071.52	Professional		$602.56	$724.44	$1,071.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $741.31 / $1,513.56	Facility		$436.52	$741.31	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,380.38	Professional		$588.84	$707.95	$1,380.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $2,344.23	Facility		$588.84	$891.25	$2,344.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $2,344.23	Professional		$588.84	$891.25	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $537.03 / $1,737.80	Facility		$363.08	$537.03	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $870.96	Professional		$501.19	$537.03	$870.96