Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.53 / $503.53 / $508.89	Facility		$503.53	$503.53	$508.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.45 / $503.53 / $545.24	Professional		$451.45	$503.53	$545.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.75 / $954.75 / $1,013.94	Facility		$954.75	$954.75	$1,013.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.25 / $581.25 / $748.41	Professional		$581.25	$581.25	$748.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.00 / $512.00 / $652.66	Professional		$512.00	$512.00	$652.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.34 / $596.58 / $596.58	Facility		$510.34	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $596.58	Professional		$435.50	$435.50	$596.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.33 / $859.28 / $1,145.70	Professional		$668.33	$859.28	$1,145.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $307.50 / $587.17 / $1,086.81	Facility		$307.50	$587.17	$1,086.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.00 / $1,254.06 / $1,590.30	Professional		$537.00	$1,254.06	$1,590.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $523.08 / $717.49 / $1,193.44	Facility		$523.08	$717.49	$1,193.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $523.08 / $717.49 / $1,193.44	Professional		$523.08	$717.49	$1,193.44
United Facility/Professional Facility Modifier Low / Median / High Price $366.99 / $629.41 / $717.65	Facility		$366.99	$629.41	$717.65
United Facility/Professional Professional Modifier Low / Median / High Price $443.91 / $476.31 / $733.98	Professional		$443.91	$476.31	$733.98