Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.77 / $625.51 / $625.51	Facility		$517.77	$625.51	$625.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.77 / $625.51 / $740.21	Professional		$517.77	$625.51	$740.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,265.07 / $1,265.07 / $1,343.50	Facility		$1,265.07	$1,265.07	$1,343.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.32 / $752.32 / $1,001.71	Professional		$752.32	$752.32	$1,001.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $797.81 / $797.81 / $864.79	Professional		$797.81	$797.81	$864.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $723.52	Facility		$723.52	$723.52	$723.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $528.16 / $723.52	Professional		$528.16	$528.16	$723.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.55 / $1,138.56 / $1,518.08	Professional		$885.55	$1,138.56	$1,518.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $625.51 / $848.06 / $1,407.39	Facility		$625.51	$848.06	$1,407.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $978.36 / $1,581.34 / $2,107.19	Professional		$978.36	$1,581.34	$2,107.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $712.33 / $959.11 / $1,401.54	Facility		$712.33	$959.11	$1,401.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $712.33 / $959.11 / $1,401.54	Professional		$712.33	$959.11	$1,401.54
United Facility/Professional Professional Modifier Low / Median / High Price $534.09 / $631.13 / $949.77	Professional		$534.09	$631.13	$949.77