Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.76 / $601.76 / $608.16	Facility		$601.76	$601.76	$608.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.45 / $601.76 / $660.69	Professional		$516.45	$601.76	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.99 / $1,140.99 / $1,211.73	Facility		$1,140.99	$1,140.99	$1,211.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.00 / $659.00 / $844.94	Professional		$659.00	$659.00	$844.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $612.00 / $779.98	Professional		$612.00	$612.00	$779.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $875.29	Facility		$875.29	$875.29	$875.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $638.96 / $875.29	Professional		$638.96	$638.96	$875.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.69 / $1,026.89 / $1,369.19	Professional		$798.69	$1,026.89	$1,369.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $721.22 / $1,298.82	Facility		$349.02	$721.22	$1,298.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $1,498.69 / $1,900.52	Professional		$650.00	$1,498.69	$1,900.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $625.11 / $861.10 / $1,361.75	Facility		$625.11	$861.10	$1,361.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $625.11 / $861.10 / $1,361.75	Professional		$625.11	$861.10	$1,361.75
United Facility/Professional Professional Modifier Low / Median / High Price $532.82 / $569.23 / $833.09	Professional		$532.82	$569.23	$833.09