Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.65 / $813.81 / $813.81	Facility		$673.65	$813.81	$813.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.65 / $813.81 / $905.75	Professional		$673.65	$813.81	$905.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,645.94 / $1,645.94 / $1,747.99	Facility		$1,645.94	$1,645.94	$1,747.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.09 / $916.09 / $1,172.09	Professional		$916.09	$916.09	$1,172.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,001.33 / $1,001.33 / $1,125.15	Professional		$1,001.33	$1,001.33	$1,125.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $941.33	Facility		$941.33	$941.33	$941.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $687.17 / $941.33	Professional		$687.17	$687.17	$941.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.16 / $1,481.35 / $1,975.13	Professional		$1,152.16	$1,481.35	$1,975.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $485.19 / $963.32 / $1,839.07	Facility		$485.19	$963.32	$1,839.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $2,057.42 / $2,741.60	Professional		$1,020.00	$2,057.42	$2,741.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $901.75 / $1,265.34 / $2,060.96	Facility		$901.75	$1,265.34	$2,060.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $901.75 / $1,245.85 / $2,012.60	Professional		$901.75	$1,245.85	$2,012.60
United Facility/Professional Professional Modifier Low / Median / High Price $694.88 / $821.14 / $1,233.76	Professional		$694.88	$821.14	$1,233.76