Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.89 / $682.89 / $690.16	Facility		$682.89	$682.89	$690.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.25 / $682.89 / $777.67	Professional		$612.25	$682.89	$777.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,294.82 / $1,294.82 / $1,375.10	Facility		$1,294.82	$1,294.82	$1,375.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.80 / $1,084.80 / $1,333.87	Professional		$1,084.80	$1,084.80	$1,333.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $722.84 / $722.84 / $885.13	Professional		$722.84	$722.84	$885.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $809.08	Facility		$809.08	$809.08	$809.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $687.72 / $809.08	Professional		$687.72	$687.72	$809.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.37 / $1,165.33 / $1,553.78	Professional		$906.37	$1,165.33	$1,553.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $798.98 / $1,473.93	Facility		$417.02	$798.98	$1,473.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $961.80 / $1,700.75 / $2,156.75	Professional		$961.80	$1,700.75	$2,156.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $709.39 / $977.19 / $1,545.34	Facility		$709.39	$977.19	$1,545.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $709.39 / $977.19 / $1,545.34	Professional		$709.39	$977.19	$1,545.34
United Facility/Professional Professional Modifier Low / Median / High Price $605.61 / $645.97 / $995.42	Professional		$605.61	$645.97	$995.42