Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $676.08	Facility		$660.69	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $977.24	Professional		$489.78	$660.69	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,380.38	Facility		$1,288.25	$1,288.25	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,412.54	Professional		$676.08	$676.08	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $891.25	Professional		$676.08	$676.08	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $707.95 / $707.95	Facility		$575.44	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $707.95	Professional		$512.86	$512.86	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,819.70	Professional		$912.01	$1,288.25	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,258.93	Professional		$562.34	$851.14	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $1,621.81	Facility		$489.78	$870.96	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $831.76	Professional		$691.83	$724.44	$831.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,754.23	Facility		$691.83	$1,047.13	$2,754.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,754.23	Professional		$691.83	$1,047.13	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $851.14 / $1,778.28	Facility		$426.58	$851.14	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $954.99	Professional		$562.34	$630.96	$954.99