Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.55 / $970.75 / $2,533.66	Facility		$856.55	$970.75	$2,533.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.55 / $936.49 / $970.75	Professional		$856.55	$936.49	$970.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,337.54 / $5,561.83 / $7,023.67	Facility		$4,337.54	$5,561.83	$7,023.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.40 / $1,246.40 / $1,791.82	Professional		$1,246.40	$1,246.40	$1,791.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $913.65 / $913.65 / $1,781.62	Professional		$913.65	$913.65	$1,781.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.34 / $1,907.81 / $5,850.92	Facility		$742.34	$1,907.81	$5,850.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.26 / $1,391.26 / $1,666.89	Professional		$1,391.26	$1,391.26	$1,666.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,142.06 / $1,370.47 / $1,690.25	Professional		$1,142.06	$1,370.47	$1,690.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $856.55 / $1,142.06 / $1,941.50	Facility		$856.55	$1,142.06	$1,941.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $799.44 / $1,298.52 / $2,120.35	Facility		$799.44	$1,298.52	$2,120.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $799.44 / $1,313.37 / $2,112.81	Professional		$799.44	$1,313.37	$2,112.81
United Facility/Professional Professional Modifier Low / Median / High Price $479.67 / $593.87 / $1,484.68	Professional		$479.67	$593.87	$1,484.68