Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.43 / $553.80 / $553.80	Facility		$458.43	$553.80	$553.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.43 / $553.80 / $578.66	Professional		$458.43	$553.80	$578.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,120.08 / $1,120.08 / $1,189.52	Facility		$1,120.08	$1,120.08	$1,189.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.41 / $604.41 / $766.13	Professional		$604.41	$604.41	$766.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $601.00 / $601.00 / $765.68	Professional		$601.00	$601.00	$765.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.73 / $627.26 / $627.26	Facility		$598.73	$627.26	$627.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $627.26	Professional		$457.90	$457.90	$627.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.06 / $1,008.07 / $1,344.10	Professional		$784.06	$1,008.07	$1,344.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.31 / $655.55 / $1,256.75	Facility		$323.31	$655.55	$1,256.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $1,400.10 / $1,865.69	Professional		$564.00	$1,400.10	$1,865.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $613.66 / $845.32 / $1,336.79	Facility		$613.66	$845.32	$1,336.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $613.66 / $845.32 / $1,336.79	Professional		$613.66	$845.32	$1,336.79
United Facility/Professional Facility Modifier Low / Median / High Price $377.20 / $496.34 / $567.91	Facility		$377.20	$496.34	$567.91
United Facility/Professional Professional Modifier Low / Median / High Price $454.73 / $558.79 / $841.75	Professional		$454.73	$558.79	$841.75