Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.95 / $690.96 / $690.96	Facility		$571.95	$690.96	$690.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.95 / $690.96 / $758.27	Professional		$571.95	$690.96	$758.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,397.45 / $1,397.45 / $1,484.09	Facility		$1,397.45	$1,397.45	$1,484.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.54 / $792.54 / $1,000.85	Professional		$792.54	$792.54	$1,000.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $749.00 / $749.00 / $955.29	Professional		$749.00	$749.00	$955.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.99 / $830.86 / $830.86	Facility		$746.99	$830.86	$830.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $606.53 / $830.86	Professional		$606.53	$606.53	$830.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.22 / $1,257.71 / $1,676.94	Professional		$978.22	$1,257.71	$1,676.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $423.68 / $859.46 / $1,567.96	Facility		$423.68	$859.46	$1,567.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $740.00 / $1,746.81 / $2,327.71	Professional		$740.00	$1,746.81	$2,327.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $765.63 / $1,054.65 / $1,667.83	Facility		$765.63	$1,054.65	$1,667.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $765.63 / $1,054.65 / $1,667.83	Professional		$765.63	$1,054.65	$1,667.83
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $595.89 / $697.18 / $1,050.20	Professional		$595.89	$697.18	$1,050.20