Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.79 / $678.70 / $678.70	Facility		$561.79	$678.70	$678.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.79 / $678.70 / $783.91	Professional		$561.79	$678.70	$783.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,372.66 / $1,372.66 / $1,457.76	Facility		$1,372.66	$1,372.66	$1,457.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.81 / $803.81 / $1,061.35	Professional		$803.81	$803.81	$1,061.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $736.00 / $736.00 / $938.34	Professional		$736.00	$736.00	$938.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $857.71 / $857.71	Facility		$857.71	$857.71	$857.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $626.13 / $857.72	Professional		$626.13	$626.13	$857.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.86 / $1,235.39 / $1,647.19	Professional		$960.86	$1,235.39	$1,647.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $442.10 / $844.22 / $1,562.54	Facility		$442.10	$844.22	$1,562.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $1,715.83 / $2,286.41	Professional		$891.00	$1,715.83	$2,286.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $752.04 / $1,035.94 / $1,638.24	Facility		$752.04	$1,035.94	$1,638.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $752.04 / $1,035.94 / $1,638.24	Professional		$752.04	$1,035.94	$1,638.24
United Facility/Professional Professional Modifier Low / Median / High Price $618.94 / $684.80 / $1,031.57	Professional		$618.94	$684.80	$1,031.57