Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.40 / $541.40 / $805.31	Facility		$541.40	$541.40	$805.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.15 / $541.40 / $576.39	Professional		$448.15	$541.40	$576.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,162.86	Facility		$1,094.98	$1,094.98	$1,162.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.09 / $557.09 / $696.41	Professional		$557.09	$557.09	$696.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $587.00 / $748.52	Professional		$587.00	$587.00	$748.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $632.51	Facility		$632.51	$632.51	$632.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $632.51	Professional		$461.73	$461.73	$632.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.49 / $985.48 / $1,313.98	Professional		$766.49	$985.48	$1,313.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $296.57 / $673.42 / $1,228.57	Facility		$296.57	$673.42	$1,228.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $638.00 / $1,314.00 / $1,823.89	Professional		$638.00	$1,314.00	$1,823.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $599.90 / $826.37 / $1,306.83	Facility		$599.90	$826.37	$1,306.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $599.90 / $826.37 / $1,306.83	Professional		$599.90	$826.37	$1,306.83
United Facility/Professional Professional Modifier Low / Median / High Price $417.12 / $546.27 / $822.87	Professional		$417.12	$546.27	$822.87