Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.77 / $522.82 / $522.82	Facility		$432.77	$522.82	$522.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.77 / $522.82 / $624.38	Professional		$432.77	$522.82	$624.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,057.39 / $1,057.39 / $1,122.95	Facility		$1,057.39	$1,057.39	$1,122.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.00 / $591.00 / $756.30	Professional		$591.00	$591.00	$756.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $567.00 / $722.83	Professional		$567.00	$567.00	$722.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $751.98	Facility		$751.98	$751.98	$751.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $706.52	Professional		$548.95	$548.95	$706.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.17 / $951.65 / $1,268.86	Professional		$740.17	$951.65	$1,268.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $312.52 / $611.70 / $1,186.41	Facility		$312.52	$611.70	$1,186.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $581.00 / $1,321.74 / $1,761.27	Professional		$581.00	$1,321.74	$1,761.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $579.30 / $800.38 / $1,292.95	Facility		$579.30	$800.38	$1,292.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $579.30 / $800.38 / $1,292.95	Professional		$579.30	$800.38	$1,292.95
United Facility/Professional Facility Modifier Low / Median / High Price $364.62 / $479.78 / $633.41	Facility		$364.62	$479.78	$633.41
United Facility/Professional Professional Modifier Low / Median / High Price $447.59 / $527.52 / $794.64	Professional		$447.59	$527.52	$794.64