Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.91 / $532.65 / $532.65	Facility		$440.91	$532.65	$532.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.91 / $532.65 / $626.78	Professional		$440.91	$532.65	$626.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,077.28 / $1,077.28 / $1,144.07	Facility		$1,077.28	$1,077.28	$1,144.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.29 / $659.29 / $876.82	Professional		$659.29	$659.29	$876.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $581.94 / $581.94 / $736.42	Professional		$581.94	$581.94	$736.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $616.27	Facility		$616.27	$616.27	$616.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $449.88 / $616.27	Professional		$449.88	$449.88	$616.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.10 / $969.55 / $1,292.74	Professional		$754.10	$969.55	$1,292.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $532.65 / $722.35 / $1,131.14	Facility		$532.65	$722.35	$1,131.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $858.35 / $1,346.60 / $1,794.40	Professional		$858.35	$1,346.60	$1,794.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $621.42 / $855.80 / $1,232.76	Facility		$621.42	$855.80	$1,232.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $621.42 / $855.80 / $1,232.76	Professional		$621.42	$855.80	$1,232.76
United Facility/Professional Professional Modifier Low / Median / High Price $487.64 / $537.44 / $855.80	Professional		$487.64	$537.44	$855.80