Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.78 / $597.73 / $597.73	Facility		$494.78	$597.73	$597.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.78 / $597.73 / $806.98	Professional		$494.78	$597.73	$806.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,208.89 / $1,208.89 / $1,283.83	Facility		$1,208.89	$1,208.89	$1,283.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.27 / $736.27 / $941.53	Professional		$736.27	$736.27	$941.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $648.00 / $826.39	Professional		$648.00	$648.00	$826.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $755.39	Facility		$755.39	$755.39	$755.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $551.42 / $755.39	Professional		$551.42	$551.42	$755.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.22 / $1,088.00 / $1,450.67	Professional		$846.22	$1,088.00	$1,450.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.35 / $743.49 / $1,376.12	Facility		$389.35	$743.49	$1,376.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $707.00 / $1,511.11 / $2,013.64	Professional		$707.00	$1,511.11	$2,013.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $662.32 / $912.34 / $1,442.79	Facility		$662.32	$912.34	$1,442.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $912.34 / $1,442.79	Professional		$662.32	$912.34	$1,442.79
United Facility/Professional Professional Modifier Low / Median / High Price $545.09 / $603.10 / $908.49	Professional		$545.09	$603.10	$908.49