Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,202.26 / $2,187.76	Facility		$575.44	$1,202.26	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $707.95	Professional		$489.78	$575.44	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,348.96	Professional		$549.54	$707.95	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $2,951.21	Professional		$588.84	$707.95	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $954.99 / $1,288.25	Facility		$616.60	$954.99	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,412.54	Professional		$537.03	$794.33	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $933.25	Professional		$575.44	$758.58	$933.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $630.96 / $1,071.52	Facility		$537.03	$630.96	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $1,659.59	Facility		$575.44	$812.83	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,659.59	Professional		$575.44	$812.83	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $794.33 / $2,454.71	Facility		$660.69	$794.33	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $1,000.00	Professional		$338.84	$588.84	$1,000.00