Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.93 / $664.93 / $672.01	Facility		$664.93	$664.93	$672.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.78 / $664.93 / $672.01	Professional		$532.78	$664.93	$672.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.77 / $1,260.77 / $1,338.94	Facility		$1,260.77	$1,260.77	$1,338.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.97 / $656.97 / $850.10	Professional		$656.97	$656.97	$850.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $676.00 / $861.85	Professional		$676.00	$676.00	$861.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $957.73	Facility		$957.73	$957.73	$957.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $699.14 / $957.73	Professional		$699.14	$699.14	$957.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.54 / $1,134.69 / $1,512.92	Professional		$882.54	$1,134.69	$1,512.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $352.30 / $777.97 / $1,414.61	Facility		$352.30	$777.97	$1,414.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $634.00 / $1,656.03 / $2,100.04	Professional		$634.00	$1,656.03	$2,100.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $690.74 / $951.49 / $1,504.70	Facility		$690.74	$951.49	$1,504.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $690.74 / $951.49 / $1,504.70	Professional		$690.74	$951.49	$1,504.70
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $564.55 / $628.98 / $902.36	Professional		$564.55	$628.98	$902.36