Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $660.69 / $1,698.24	Facility		$549.54	$660.69	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $977.24	Professional		$478.63	$645.65	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,445.44	Facility		$1,348.96	$1,348.96	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,348.96	Professional		$645.65	$645.65	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $933.25	Professional		$707.95	$707.95	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $776.25	Facility		$575.44	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $776.25	Professional		$562.34	$562.34	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,905.46	Professional		$954.99	$1,348.96	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,348.96	Professional		$524.81	$891.25	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $1,548.82	Facility		$489.78	$870.96	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,698.24	Professional		$616.60	$724.44	$1,698.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $2,951.21	Facility		$724.44	$1,122.02	$2,951.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $2,951.21	Professional		$724.44	$1,122.02	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $1,412.54	Facility		$354.81	$512.86	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,071.52	Professional		$524.81	$660.69	$1,071.52