Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.01 / $557.01 / $562.95	Facility		$557.01	$557.01	$562.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.70 / $557.01 / $562.95	Professional		$416.70	$557.01	$562.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,056.15 / $1,056.15 / $1,121.63	Facility		$1,056.15	$1,056.15	$1,121.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $737.76	Professional		$600.00	$600.00	$737.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $566.00 / $591.87 / $721.97	Professional		$566.00	$591.87	$721.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $703.94	Facility		$703.94	$703.94	$703.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $703.94	Professional		$598.35	$598.35	$703.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.31 / $897.73 / $1,267.38	Professional		$739.31	$897.73	$1,267.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $255.12 / $636.13 / $1,164.13	Facility		$255.12	$636.13	$1,164.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $443.00 / $1,387.26 / $1,759.21	Professional		$443.00	$1,387.26	$1,759.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $578.63 / $797.06 / $1,291.00	Facility		$578.63	$797.06	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $578.63 / $797.06 / $1,291.00	Professional		$578.63	$797.06	$1,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.35 / $526.90 / $755.91	Professional		$408.35	$526.90	$755.91