Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.15 / $455.15 / $460.00	Facility		$455.15	$455.15	$460.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.18 / $455.15 / $518.32	Professional		$423.18	$455.15	$518.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.00 / $863.00 / $916.51	Facility		$863.00	$863.00	$916.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.50 / $520.50 / $665.03	Professional		$520.50	$520.50	$665.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $463.00 / $463.00	Professional		$463.00	$463.00	$463.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $582.20	Facility		$582.20	$582.20	$582.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $425.01 / $582.20	Professional		$425.01	$425.01	$582.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.10 / $776.70 / $1,035.59	Professional		$604.10	$776.70	$1,035.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $277.95 / $547.40 / $982.37	Facility		$277.95	$547.40	$982.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $1,133.56 / $1,437.49	Professional		$485.00	$1,133.56	$1,437.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $472.82 / $648.54 / $1,078.75	Facility		$472.82	$648.54	$1,078.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $472.82 / $648.54 / $1,078.75	Professional		$472.82	$648.54	$1,078.75
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $401.26 / $430.54 / $663.45	Professional		$401.26	$430.54	$663.45