Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.72 / $681.72 / $688.98	Facility		$681.72	$681.72	$688.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.49 / $681.72 / $688.98	Professional		$543.49	$681.72	$688.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.60 / $1,292.60 / $1,372.75	Facility		$1,292.60	$1,292.60	$1,372.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.95 / $686.95 / $866.39	Professional		$686.95	$686.95	$866.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $724.38 / $883.62	Professional		$693.00	$724.38	$883.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.94 / $895.43 / $895.43	Facility		$690.94	$895.43	$895.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $653.66 / $895.43	Professional		$653.66	$653.66	$895.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $904.83 / $1,163.34 / $1,551.13	Professional		$904.83	$1,163.34	$1,551.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $797.61 / $1,450.30	Facility		$359.09	$797.61	$1,450.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $1,697.84 / $2,153.06	Professional		$646.00	$1,697.84	$2,153.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $708.18 / $971.39 / $1,542.70	Facility		$708.18	$971.39	$1,542.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $708.18 / $971.39 / $1,542.70	Professional		$708.18	$971.39	$1,542.70
United Facility/Professional Professional Modifier Low / Median / High Price $582.83 / $644.87 / $925.13	Professional		$582.83	$644.87	$925.13