Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $912.01	Professional		$616.60	$691.83	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $912.01	Professional		$398.11	$537.03	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,318.26	Professional		$831.76	$1,000.00	$1,318.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $831.76 / $1,202.26	Facility		$660.69	$831.76	$1,202.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $138.04 / $933.25	Facility		$74.13	$138.04	$933.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $933.25	Professional		$74.13	$138.04	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $398.11 / $724.44	Facility		$46.77	$398.11	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $954.99	Professional		$537.03	$588.84	$954.99