Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.65 / $679.65 / $686.89	Facility		$679.65	$679.65	$686.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.65 / $679.65 / $773.99	Professional		$679.65	$679.65	$773.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.69 / $1,288.69 / $1,368.59	Facility		$1,288.69	$1,288.69	$1,368.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.30 / $787.30 / $1,023.32	Professional		$787.30	$787.30	$1,023.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.00 / $691.00 / $880.94	Professional		$691.00	$691.00	$880.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $908.11	Facility		$908.11	$908.11	$908.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $861.07	Professional		$662.92	$662.92	$861.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.08 / $1,159.82 / $1,546.43	Professional		$902.08	$1,159.82	$1,546.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $415.05 / $792.57 / $1,466.95	Facility		$415.05	$792.57	$1,466.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $966.00 / $1,692.69 / $2,146.53	Professional		$966.00	$1,692.69	$2,146.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $706.03 / $972.56 / $1,538.02	Facility		$706.03	$972.56	$1,538.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $706.03 / $972.56 / $1,538.02	Professional		$706.03	$972.56	$1,538.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,718.25 / $1,718.25 / $2,061.90	Facility		$1,718.25	$1,718.25	$2,061.90
United Facility/Professional Professional Modifier Low / Median / High Price $610.77 / $642.91 / $990.71	Professional		$610.77	$642.91	$990.71