Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.22 / $582.54 / $582.54	Facility		$482.22	$582.54	$582.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.22 / $582.54 / $707.64	Professional		$482.22	$582.54	$707.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,178.21 / $1,178.21 / $1,251.26	Facility		$1,178.21	$1,178.21	$1,251.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.17 / $713.17 / $891.53	Professional		$713.17	$713.17	$891.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $632.00 / $805.42	Professional		$632.00	$632.00	$805.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $736.22	Facility		$736.22	$736.22	$736.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $537.44 / $736.22	Professional		$537.44	$537.44	$736.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.75 / $1,060.39 / $1,413.85	Professional		$824.75	$1,060.39	$1,413.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $379.47 / $724.62 / $1,341.18	Facility		$379.47	$724.62	$1,341.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $663.00 / $1,472.76 / $1,962.52	Professional		$663.00	$1,472.76	$1,962.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $645.51 / $889.18 / $1,406.17	Facility		$645.51	$889.18	$1,406.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $645.51 / $889.18 / $1,406.17	Professional		$645.51	$889.18	$1,406.17
United Facility/Professional Professional Modifier Low / Median / High Price $531.26 / $587.79 / $885.43	Professional		$531.26	$587.79	$885.43