Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.33 / $3,049.70 / $6,107.64	Facility		$958.33	$3,049.70	$6,107.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.74 / $958.33 / $1,660.99	Professional		$807.74	$958.33	$1,660.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,997.00 / $2,574.00 / $2,774.00	Facility		$1,997.00	$2,574.00	$2,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $883.29 / $1,129.22 / $1,746.83	Professional		$883.29	$1,129.22	$1,746.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.85 / $1,277.15 / $2,345.58	Professional		$1,202.85	$1,277.15	$2,345.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $813.08 / $1,194.84 / $2,504.64	Facility		$813.08	$1,194.84	$2,504.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.34 / $1,370.14 / $2,192.61	Professional		$934.34	$1,370.14	$2,192.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $945.46 / $1,112.31 / $1,446.00	Professional		$945.46	$1,112.31	$1,446.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $859.31 / $1,141.18 / $1,638.94	Facility		$859.31	$1,141.18	$1,638.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $1,146.00 / $1,843.65	Professional		$160.00	$1,146.00	$1,843.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $150.53 / $1,047.01 / $1,736.43	Facility		$150.53	$1,047.01	$1,736.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $160.35 / $1,173.86 / $1,934.07	Professional		$160.35	$1,173.86	$1,934.07
United Facility/Professional Professional Modifier Low / Median / High Price $830.74 / $1,348.80 / $1,969.87	Professional		$830.74	$1,348.80	$1,969.87