Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $616.60 / $616.60	Facility		$602.56	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $977.24	Professional		$512.86	$602.56	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,258.93	Facility		$1,174.90	$1,174.90	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,479.11	Professional		$707.95	$707.95	$1,479.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $812.83	Professional		$616.60	$616.60	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $812.83 / $812.83	Facility		$489.78	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $812.83	Professional		$588.84	$588.84	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,659.59	Professional		$831.76	$1,174.90	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,148.15	Professional		$588.84	$776.25	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $1,584.89	Facility		$501.19	$870.96	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $758.58	Professional		$630.96	$741.31	$758.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $2,511.89	Facility		$630.96	$954.99	$2,511.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $2,511.89	Professional		$630.96	$954.99	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $870.96 / $1,584.89	Facility		$436.52	$870.96	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $891.25	Professional		$537.03	$575.44	$891.25