Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.91 / $715.03 / $902.96	Professional		$602.91	$715.03	$902.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.26 / $869.24 / $1,300.15	Professional		$618.26	$869.24	$1,300.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $792.26 / $880.29 / $1,624.13	Professional		$792.26	$880.29	$1,624.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.11 / $876.11 / $876.11	Facility		$876.11	$876.11	$876.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.01 / $838.66 / $1,495.87	Professional		$650.01	$838.66	$1,495.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.50 / $839.12 / $1,116.49	Professional		$691.50	$839.12	$1,116.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $679.54 / $780.30 / $1,197.65	Facility		$679.54	$780.30	$1,197.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $910.00 / $1,331.96	Professional		$795.00	$910.00	$1,331.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $675.41 / $824.50 / $1,346.60	Facility		$675.41	$824.50	$1,346.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $675.41 / $824.50 / $1,346.60	Professional		$675.41	$824.50	$1,346.60
United Facility/Professional Professional Modifier Low / Median / High Price $492.07 / $698.54 / $1,095.67	Professional		$492.07	$698.54	$1,095.67