Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.53 / $642.53 / $649.38	Facility		$642.53	$642.53	$649.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.53 / $642.53 / $729.49	Professional		$642.53	$642.53	$729.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,218.30 / $1,218.30 / $1,293.83	Facility		$1,218.30	$1,218.30	$1,293.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.29 / $699.29 / $896.65	Professional		$699.29	$699.29	$896.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $653.00 / $653.00 / $832.83	Professional		$653.00	$653.00	$832.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.23 / $930.44 / $930.44	Facility		$651.23	$930.44	$930.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $679.22 / $930.44	Professional		$679.22	$679.22	$930.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $852.81 / $1,096.47 / $1,461.96	Professional		$852.81	$1,096.47	$1,461.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $372.67 / $751.76 / $1,386.83	Facility		$372.67	$751.76	$1,386.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $651.00 / $1,600.25 / $2,029.30	Professional		$651.00	$1,600.25	$2,029.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $667.46 / $915.56 / $1,454.02	Facility		$667.46	$915.56	$1,454.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $667.46 / $915.56 / $1,454.02	Professional		$667.46	$915.56	$1,454.02
United Facility/Professional Professional Modifier Low / Median / High Price $566.45 / $607.79 / $915.56	Professional		$566.45	$607.79	$915.56