Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.63 / $917.78 / $1,777.00	Facility		$701.63	$917.78	$1,777.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.62 / $917.78 / $1,595.05	Professional		$701.62	$917.78	$1,595.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.43 / $1,052.52 / $1,553.53	Professional		$787.43	$1,052.52	$1,553.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $123.38 / $157.94	Professional		$81.00	$123.38	$157.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.81 / $1,018.05 / $1,730.46	Professional		$704.81	$1,018.05	$1,730.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.21 / $1,160.65 / $1,431.47	Professional		$967.21	$1,160.65	$1,431.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $743.73 / $1,009.62 / $1,485.30	Facility		$743.73	$1,009.62	$1,485.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $937.00 / $1,154.00 / $1,894.00	Professional		$937.00	$1,154.00	$1,894.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $523.04 / $887.55 / $1,751.17	Facility		$523.04	$887.55	$1,751.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $684.17 / $1,147.69 / $2,243.46	Professional		$684.17	$1,147.69	$2,243.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.64 / $1,056.27 / $1,822.58	Professional		$643.64	$1,056.27	$1,822.58