Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.47 / $663.80 / $663.80	Facility		$549.47	$663.80	$663.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.47 / $663.80 / $805.08	Professional		$549.47	$663.80	$805.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,342.52 / $1,342.52 / $1,425.76	Facility		$1,342.52	$1,342.52	$1,425.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.15 / $828.15 / $1,018.29	Professional		$828.15	$828.15	$1,018.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $705.34 / $705.34 / $917.74	Professional		$705.34	$705.34	$917.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $840.60	Facility		$829.42	$840.60	$840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $613.64 / $840.60	Professional		$613.64	$613.64	$840.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.76 / $1,208.27 / $1,611.02	Professional		$939.76	$1,208.27	$1,611.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $405.35 / $816.79 / $1,500.05	Facility		$405.35	$816.79	$1,500.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,611.00 / $2,236.19	Professional		$800.00	$1,611.00	$2,236.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $735.53 / $1,013.19 / $1,602.28	Facility		$735.53	$1,013.19	$1,602.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $735.53 / $1,013.19 / $1,602.28	Professional		$735.53	$1,013.19	$1,602.28
United Facility/Professional Professional Modifier Low / Median / High Price $541.80 / $669.77 / $1,006.34	Professional		$541.80	$669.77	$1,006.34