Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,412.54	Professional		$707.95	$977.24	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,862.09	Professional		$912.01	$1,258.93	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,513.56	Professional		$1,023.29	$1,148.15	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,862.09	Professional		$812.83	$1,047.13	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,698.24	Professional		$1,023.29	$1,230.27	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,412.54	Professional		$954.99	$1,202.26	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,737.80	Facility		$851.14	$1,148.15	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,698.24	Facility		$831.76	$1,023.29	$1,698.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,698.24	Professional		$831.76	$1,023.29	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,479.11	Professional		$645.65	$912.01	$1,479.11