Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.35 / $562.16 / $562.16	Facility		$465.35	$562.16	$562.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.35 / $562.16 / $629.79	Professional		$465.35	$562.16	$629.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,136.99 / $1,136.99 / $1,207.48	Facility		$1,136.99	$1,136.99	$1,207.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.50 / $553.50 / $721.46	Professional		$553.50	$553.50	$721.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $610.00 / $777.24	Professional		$610.00	$610.00	$777.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $567.88	Facility		$567.88	$567.88	$567.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $567.88	Professional		$414.55	$414.55	$567.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.89 / $1,023.29 / $1,364.39	Professional		$795.89	$1,023.29	$1,364.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $292.70 / $657.74 / $1,270.35	Facility		$292.70	$657.74	$1,270.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $1,421.24 / $1,893.85	Professional		$511.00	$1,421.24	$1,893.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $622.91 / $858.06 / $1,356.96	Facility		$622.91	$858.06	$1,356.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $622.91 / $858.06 / $1,356.96	Professional		$622.91	$858.06	$1,356.96
United Facility/Professional Professional Modifier Low / Median / High Price $419.20 / $567.23 / $854.43	Professional		$419.20	$567.23	$854.43