Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.76 / $753.91 / $1,641.19	Professional		$618.76	$753.91	$1,641.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $901.54 / $1,480.39	Professional		$705.00	$901.54	$1,480.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.04 / $916.04 / $1,786.28	Professional		$916.04	$916.04	$1,786.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.74 / $883.74 / $883.74	Facility		$883.74	$883.74	$883.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.89 / $1,015.89 / $1,876.66	Professional		$714.89	$1,015.89	$1,876.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.47 / $931.06 / $2,621.98	Professional		$712.47	$931.06	$2,621.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.20 / $976.21 / $1,373.28	Facility		$724.20	$976.21	$1,373.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $968.00 / $1,165.00 / $1,806.02	Professional		$968.00	$1,165.00	$1,806.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $821.82 / $1,002.12 / $1,624.38	Facility		$821.82	$1,002.12	$1,624.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $821.82 / $1,002.12 / $1,624.38	Professional		$821.82	$1,002.12	$1,624.38
United Facility/Professional Professional Modifier Low / Median / High Price $603.79 / $878.28 / $1,458.76	Professional		$603.79	$878.28	$1,458.76