Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.67 / $502.67 / $508.02	Facility		$502.67	$502.67	$508.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.05 / $502.67 / $508.02	Professional		$443.05	$502.67	$508.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.11 / $953.11 / $1,012.20	Facility		$953.11	$953.11	$1,012.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,037.22 / $1,037.22 / $1,275.35	Professional		$1,037.22	$1,037.22	$1,275.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $573.16 / $573.16 / $651.54	Professional		$573.16	$573.16	$651.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $510.69	Facility		$510.69	$510.69	$510.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $434.09 / $510.69	Professional		$434.09	$434.09	$510.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.18 / $857.80 / $1,143.73	Professional		$667.18	$857.80	$1,143.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.23 / $586.17 / $1,069.41	Facility		$263.23	$586.17	$1,069.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $586.82 / $1,251.91 / $1,587.57	Professional		$586.82	$1,251.91	$1,587.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $522.17 / $719.30 / $1,191.39	Facility		$522.17	$719.30	$1,191.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $522.17 / $719.30 / $1,191.39	Professional		$522.17	$719.30	$1,191.39
United Facility/Professional Professional Modifier Low / Median / High Price $429.76 / $475.49 / $682.16	Professional		$429.76	$475.49	$682.16