Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.65 / $608.44 / $608.44	Facility		$503.65	$608.44	$608.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.65 / $608.44 / $677.16	Professional		$503.65	$608.44	$677.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.58 / $1,230.58 / $1,306.88	Facility		$1,230.58	$1,230.58	$1,306.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.29 / $737.29 / $921.68	Professional		$737.29	$737.29	$921.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $686.96 / $686.96 / $841.22	Professional		$686.96	$686.96	$841.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $741.89	Facility		$741.89	$741.89	$741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $541.58 / $741.89	Professional		$541.58	$541.58	$741.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.41 / $1,107.52 / $1,476.70	Professional		$861.41	$1,107.52	$1,476.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $362.74 / $746.94 / $1,374.93	Facility		$362.74	$746.94	$1,374.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $889.33 / $1,538.23 / $2,049.76	Professional		$889.33	$1,538.23	$2,049.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $674.18 / $928.69 / $1,468.67	Facility		$674.18	$928.69	$1,468.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $674.18 / $928.69 / $1,468.67	Professional		$674.18	$928.69	$1,468.67
United Facility/Professional Professional Modifier Low / Median / High Price $519.51 / $613.91 / $924.76	Professional		$519.51	$613.91	$924.76