Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.02 / $978.74 / $1,096.99	Professional		$709.02	$978.74	$1,096.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $522.37 / $698.13	Professional		$79.26	$522.37	$698.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,339.65 / $1,339.65 / $1,473.62	Professional		$1,339.65	$1,339.65	$1,473.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $955.91 / $955.91 / $955.91	Facility		$955.91	$955.91	$955.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,871.82 / $2,871.82 / $2,871.82	Professional		$2,871.82	$2,871.82	$2,871.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.72 / $86.69 / $110.93	Professional		$71.72	$86.69	$110.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $785.46 / $1,020.32 / $1,355.76	Facility		$785.46	$1,020.32	$1,355.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $1,294.00 / $2,010.07	Professional		$526.00	$1,294.00	$2,010.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $568.95 / $1,066.32 / $1,580.44	Facility		$568.95	$1,066.32	$1,580.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $568.95 / $1,066.32 / $1,580.44	Professional		$568.95	$1,066.32	$1,580.44
United Facility/Professional Professional Modifier Low / Median / High Price $628.70 / $871.64 / $1,475.09	Professional		$628.70	$871.64	$1,475.09