Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.03 / $767.03 / $1,030.90	Facility		$767.03	$767.03	$1,030.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.03 / $964.44 / $1,283.70	Professional		$767.03	$964.44	$1,283.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.53 / $1,031.53 / $1,373.48	Professional		$1,031.53	$1,031.53	$1,373.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,255.92 / $4,255.92 / $4,255.92	Professional		$4,255.92	$4,255.92	$4,255.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $936.57 / $936.57	Facility		$936.57	$936.57	$936.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $796.08 / $936.57	Professional		$796.08	$796.08	$936.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.33 / $1,424.28 / $1,725.35	Professional		$1,078.33	$1,424.28	$1,725.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.24 / $842.50 / $1,412.33	Facility		$108.24	$842.50	$1,412.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $245.25 / $2,150.00	Professional		$151.61	$245.25	$2,150.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $210.09 / $2,506.77	Facility		$96.06	$210.09	$2,506.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $210.09 / $2,506.77	Professional		$94.09	$210.09	$2,506.77
United Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $103.70 / $294.35	Professional		$78.19	$103.70	$294.35