Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.24 / $548.75 / $548.75	Facility		$454.24	$548.75	$548.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.24 / $548.75 / $600.39	Professional		$454.24	$548.75	$600.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,109.85 / $1,109.85 / $1,178.67	Facility		$1,109.85	$1,109.85	$1,178.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.75 / $628.75 / $808.16	Professional		$628.75	$628.75	$808.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $595.00 / $758.70	Professional		$595.00	$595.00	$758.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $740.83	Facility		$740.83	$740.83	$740.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $540.80 / $740.83	Professional		$540.80	$540.80	$740.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.90 / $998.87 / $1,331.83	Professional		$776.90	$998.87	$1,331.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $335.49 / $682.58 / $1,245.25	Facility		$335.49	$682.58	$1,245.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $586.00 / $1,387.33 / $1,848.67	Professional		$586.00	$1,387.33	$1,848.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $608.05 / $837.60 / $1,324.59	Facility		$608.05	$837.60	$1,324.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $608.05 / $837.60 / $1,324.59	Professional		$608.05	$837.60	$1,324.59
United Facility/Professional Professional Modifier Low / Median / High Price $471.86 / $553.69 / $831.92	Professional		$471.86	$553.69	$831.92