Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.89 / $905.76 / $2,161.54	Facility		$712.89	$905.76	$2,161.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.89 / $904.73 / $1,097.11	Professional		$712.89	$904.73	$1,097.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.47 / $828.05 / $1,369.01	Professional		$657.47	$828.05	$1,369.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $774.75 / $884.28 / $3,019.00	Professional		$774.75	$884.28	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,228.44	Facility		$640.00	$640.00	$1,228.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.29 / $1,136.83 / $1,836.98	Professional		$761.29	$1,136.83	$1,836.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $848.59 / $1,086.20 / $1,262.39	Professional		$848.59	$1,086.20	$1,262.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $839.68 / $1,152.79 / $1,763.20	Facility		$839.68	$1,152.79	$1,763.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,401.00 / $1,676.00	Professional		$1,185.20	$1,401.00	$1,676.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $727.02 / $1,056.71 / $2,000.70	Facility		$727.02	$1,056.71	$2,000.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $884.29 / $1,233.91 / $2,152.12	Professional		$884.29	$1,233.91	$2,152.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.15 / $1,158.20 / $1,718.15	Professional		$728.15	$1,158.20	$1,718.15