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 $549.54 / $660.69 / $1,047.13	Professional		$549.54	$660.69	$1,047.13
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 $724.44 / $724.44 / $1,513.56	Professional		$724.44	$724.44	$1,513.56
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 $588.84 / $758.58 / $758.58	Facility		$588.84	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $758.58	Professional		$549.54	$549.54	$758.58
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 $660.69 / $891.25 / $1,348.96	Professional		$660.69	$891.25	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $1,621.81	Facility		$549.54	$891.25	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,698.24	Professional		$724.44	$870.96	$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 $407.38 / $588.84 / $1,621.81	Facility		$407.38	$588.84	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $660.69 / $1,071.52	Professional		$588.84	$660.69	$1,071.52