Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.86 / $521.72 / $521.72	Facility		$431.86	$521.72	$521.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.86 / $521.72 / $617.40	Professional		$431.86	$521.72	$617.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,055.16 / $1,055.16 / $1,120.58	Facility		$1,055.16	$1,055.16	$1,120.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $445.00 / $587.29	Professional		$445.00	$445.00	$587.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $634.37 / $634.37 / $721.30	Professional		$634.37	$634.37	$721.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $702.03	Facility		$702.03	$702.03	$702.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $512.48 / $702.03	Professional		$512.48	$512.48	$702.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.61 / $949.64 / $1,266.19	Professional		$738.61	$949.64	$1,266.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $311.04 / $648.94 / $1,178.97	Facility		$311.04	$648.94	$1,178.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $1,318.95 / $1,757.56	Professional		$612.00	$1,318.95	$1,757.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $578.10 / $798.69 / $1,291.00	Facility		$578.10	$798.69	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $578.10 / $798.69 / $1,291.00	Professional		$578.10	$798.69	$1,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.48 / $526.41 / $790.94	Professional		$437.48	$526.41	$790.94