Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.20 / $627.23 / $627.23	Facility		$519.20	$627.23	$627.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.20 / $627.23 / $700.98	Professional		$519.20	$627.23	$700.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,268.57 / $1,268.57 / $1,347.22	Facility		$1,268.57	$1,268.57	$1,347.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.45 / $705.45 / $888.87	Professional		$705.45	$705.45	$888.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $680.00 / $867.19	Professional		$680.00	$680.00	$867.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $713.15	Facility		$713.15	$713.15	$713.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $520.60 / $713.15	Professional		$520.60	$520.60	$713.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $888.00 / $1,141.71 / $1,522.28	Professional		$888.00	$1,141.71	$1,522.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $367.58 / $780.20 / $1,444.05	Facility		$367.58	$780.20	$1,444.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $1,585.71 / $2,113.04	Professional		$642.00	$1,585.71	$2,113.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $695.02 / $957.38 / $1,514.02	Facility		$695.02	$957.38	$1,514.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $695.02 / $957.38 / $1,514.02	Professional		$695.02	$957.38	$1,514.02
United Facility/Professional Professional Modifier Low / Median / High Price $516.98 / $632.88 / $953.34	Professional		$516.98	$632.88	$953.34