Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $707.95 / $707.95	Facility		$660.69	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,122.02	Professional		$457.09	$794.33	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,174.90	Facility		$1,096.48	$1,096.48	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $2,884.03	Professional		$1,380.38	$1,513.56	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,548.82	Professional		$776.25	$1,096.48	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,071.52	Professional		$724.44	$724.44	$1,071.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $891.25 / $1,621.81	Facility		$467.74	$891.25	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $831.76	Professional		$588.84	$724.44	$831.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $933.25 / $2,344.23	Facility		$724.44	$933.25	$2,344.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,344.23	Professional		$724.44	$933.25	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $630.96 / $1,737.80	Facility		$407.38	$630.96	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $891.25	Professional		$489.78	$537.03	$891.25