Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $977.24	Facility		$933.25	$933.25	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,230.27	Professional		$776.25	$933.25	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,778.28	Professional		$851.14	$1,148.15	$1,778.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $977.24 / $1,348.96	Professional		$158.49	$977.24	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $2,238.72	Facility		$1,071.52	$1,318.26	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $1,995.26	Professional		$870.96	$1,230.27	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,445.44	Professional		$977.24	$1,174.90	$1,445.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,862.09	Facility		$851.14	$1,148.15	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $954.99 / $1,819.70	Facility		$141.25	$954.99	$1,819.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $1,047.13 / $2,089.30	Professional		$147.91	$1,047.13	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $891.25 / $1,819.70	Facility		$125.89	$891.25	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,995.26	Professional		$831.76	$1,258.93	$1,995.26