Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.90 / $461.90 / $466.82	Facility		$461.90	$461.90	$466.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.46 / $461.90 / $524.97	Professional		$429.46	$461.90	$524.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.81 / $875.81 / $930.11	Facility		$875.81	$875.81	$930.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.88 / $501.88 / $648.62	Professional		$501.88	$501.88	$648.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $470.00 / $490.81 / $598.70	Professional		$470.00	$490.81	$598.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $695.50	Facility		$695.50	$695.50	$695.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $507.72 / $695.50	Professional		$507.72	$507.72	$695.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.07 / $788.23 / $1,050.97	Professional		$613.07	$788.23	$1,050.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $265.81 / $538.62 / $996.96	Facility		$265.81	$538.62	$996.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $1,150.38 / $1,458.82	Professional		$505.00	$1,150.38	$1,458.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $479.82 / $660.95 / $1,094.76	Facility		$479.82	$660.95	$1,094.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $479.82 / $660.95 / $1,094.76	Professional		$479.82	$660.95	$1,094.76
United Facility/Professional Professional Modifier Low / Median / High Price $409.63 / $436.93 / $658.16	Professional		$409.63	$436.93	$658.16