Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.23 / $668.23 / $675.35	Facility		$668.23	$668.23	$675.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.08 / $668.23 / $741.36	Professional		$617.08	$668.23	$741.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,267.04 / $1,267.04 / $1,345.60	Facility		$1,267.04	$1,267.04	$1,345.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.93 / $779.93 / $974.99	Professional		$779.93	$779.93	$974.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.34 / $707.34 / $866.14	Professional		$707.34	$707.34	$866.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $724.63	Facility		$724.63	$724.63	$724.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $528.98 / $724.63	Professional		$528.98	$528.98	$724.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.93 / $1,140.33 / $1,520.45	Professional		$886.93	$1,140.33	$1,520.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $373.50 / $779.25 / $1,421.63	Facility		$373.50	$779.25	$1,421.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $730.00 / $1,664.25 / $2,110.46	Professional		$730.00	$1,664.25	$2,110.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $694.17 / $959.06 / $1,549.29	Facility		$694.17	$959.06	$1,549.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $694.17 / $959.06 / $1,549.29	Professional		$694.17	$959.06	$1,549.29
United Facility/Professional Professional Modifier Low / Median / High Price $578.54 / $632.11 / $917.56	Professional		$578.54	$632.11	$917.56