Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $549.54 / $549.54	Facility		$537.03	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $851.14	Professional		$446.68	$537.03	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Facility		$1,047.13	$1,047.13	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,288.25	Professional		$616.60	$616.60	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $707.95	Professional		$549.54	$549.54	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $660.69	Facility		$436.52	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $660.69	Professional		$478.63	$478.63	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,445.44	Professional		$724.44	$1,047.13	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,023.29	Professional		$588.84	$676.08	$1,023.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $1,380.38	Facility		$446.68	$758.58	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $676.08	Professional		$562.34	$602.56	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $851.14 / $2,238.72	Facility		$562.34	$851.14	$2,238.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $2,238.72	Professional		$562.34	$851.14	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $758.58 / $1,380.38	Facility		$380.19	$758.58	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $776.25	Professional		$478.63	$512.86	$776.25