Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $3,715.35	Facility		$707.95	$1,995.26	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,096.48	Professional		$630.96	$741.31	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $3,801.89	Facility		$954.99	$954.99	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $630.96	Professional		$380.19	$380.19	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $851.14	Professional		$724.44	$776.25	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,344.23 / $4,897.79	Facility		$977.24	$2,344.23	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,148.15 / $1,380.38	Professional		$549.54	$1,148.15	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,318.26	Professional		$954.99	$1,047.13	$1,318.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,584.89	Facility		$758.58	$1,047.13	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,995.26	Professional		$616.60	$954.99	$1,995.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $1,412.54	Facility		$660.69	$954.99	$1,412.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,412.54	Professional		$660.69	$1,071.52	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $1,148.15	Facility		$575.44	$954.99	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $1,096.48	Professional		$398.11	$478.63	$1,096.48