Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $688.07 / $688.07	Facility		$655.29	$688.07	$688.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $688.07	Professional		$655.29	$655.29	$688.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $909.94	Professional		$655.29	$655.29	$909.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $3,321.52	Professional		$655.29	$655.29	$3,321.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $618.21 / $655.29	Facility		$618.21	$618.21	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.01 / $655.29 / $1,574.85	Professional		$557.01	$655.29	$1,574.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $688.07 / $1,199.20	Facility		$655.29	$688.07	$1,199.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,372.00 / $2,705.00 / $3,688.80	Professional		$1,372.00	$2,705.00	$3,688.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,436.81 / $1,615.81 / $2,811.61	Facility		$1,436.81	$1,615.81	$2,811.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,436.81 / $1,613.76 / $2,811.61	Professional		$1,436.81	$1,613.76	$2,811.61
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $733.94	Professional		$655.29	$655.29	$733.94