Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.49 / $529.49 / $535.13	Facility		$529.49	$529.49	$535.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.30 / $529.49 / $602.98	Professional		$492.30	$529.49	$602.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,003.96 / $1,003.96 / $1,066.21	Facility		$1,003.96	$1,003.96	$1,066.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.98 / $602.98 / $785.80	Professional		$602.98	$602.98	$785.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $559.73 / $559.73 / $686.30	Professional		$559.73	$559.73	$686.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $765.11	Facility		$765.11	$765.11	$765.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $558.53 / $765.11	Professional		$558.53	$558.53	$765.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.77 / $903.56 / $1,204.75	Professional		$702.77	$903.56	$1,204.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.35 / $630.42 / $1,124.23	Facility		$323.35	$630.42	$1,124.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $1,318.71 / $1,672.28	Professional		$738.40	$1,318.71	$1,672.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $550.04 / $757.68 / $1,254.95	Facility		$550.04	$757.68	$1,254.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $550.04 / $757.68 / $1,254.95	Professional		$550.04	$757.68	$1,254.95
United Facility/Professional Professional Modifier Low / Median / High Price $469.18 / $500.87 / $771.82	Professional		$469.18	$500.87	$771.82