Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.77 / $575.97 / $575.97	Facility		$476.77	$575.97	$575.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.77 / $575.97 / $622.15	Professional		$476.77	$575.97	$622.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,164.90 / $1,164.90 / $1,237.11	Facility		$1,164.90	$1,164.90	$1,237.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.91 / $656.91 / $821.20	Professional		$656.91	$656.91	$821.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $625.00 / $796.32	Professional		$625.00	$625.00	$796.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $732.96	Facility		$732.96	$732.96	$732.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $732.96	Professional		$535.05	$535.05	$732.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.43 / $1,048.41 / $1,397.88	Professional		$815.43	$1,048.41	$1,397.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $333.63 / $681.78 / $1,307.03	Facility		$333.63	$681.78	$1,307.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $635.00 / $1,456.13 / $1,940.35	Professional		$635.00	$1,456.13	$1,940.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $638.21 / $879.14 / $1,390.28	Facility		$638.21	$879.14	$1,390.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $638.21 / $879.14 / $1,390.28	Professional		$638.21	$879.14	$1,390.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,381.17 / $1,381.17 / $1,657.40	Facility		$1,381.17	$1,381.17	$1,657.40
United Facility/Professional Professional Modifier Low / Median / High Price $469.24 / $581.15 / $873.18	Professional		$469.24	$581.15	$873.18