Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.48 / $666.48 / $673.57	Facility		$666.48	$666.48	$673.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.50 / $666.48 / $675.11	Professional		$531.50	$666.48	$675.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,263.69 / $1,263.69 / $1,342.04	Facility		$1,263.69	$1,263.69	$1,342.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.97 / $682.97 / $881.34	Professional		$682.97	$682.97	$881.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $678.00 / $678.00 / $863.85	Professional		$678.00	$678.00	$863.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.50 / $702.38 / $702.38	Facility		$675.50	$702.38	$702.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $512.74 / $702.38	Professional		$512.74	$512.74	$702.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.58 / $1,137.32 / $1,516.43	Professional		$884.58	$1,137.32	$1,516.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $779.78 / $1,417.89	Facility		$362.03	$779.78	$1,417.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $1,659.86 / $2,104.90	Professional		$632.00	$1,659.86	$2,104.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $692.34 / $953.71 / $1,508.19	Facility		$692.34	$953.71	$1,508.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $692.34 / $953.71 / $1,508.19	Professional		$692.34	$953.71	$1,508.19
United Facility/Professional Professional Modifier Low / Median / High Price $569.80 / $630.44 / $904.46	Professional		$569.80	$630.44	$904.46