Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.96 / $725.99 / $725.99	Facility		$600.96	$725.99	$725.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.96 / $725.99 / $808.02	Professional		$600.96	$725.99	$808.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,468.32 / $1,468.32 / $1,559.36	Facility		$1,468.32	$1,468.32	$1,559.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $797.06 / $797.06 / $1,045.61	Professional		$797.06	$797.06	$1,045.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $771.43 / $771.43 / $1,003.74	Professional		$771.43	$771.43	$1,003.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,038.85	Facility		$1,038.85	$1,038.85	$1,038.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $758.37 / $1,038.85	Professional		$758.37	$758.37	$1,038.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.82 / $1,321.49 / $1,761.98	Professional		$1,027.82	$1,321.49	$1,761.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $432.84 / $859.37 / $1,640.60	Facility		$432.84	$859.37	$1,640.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $846.00 / $1,835.40 / $2,445.75	Professional		$846.00	$1,835.40	$2,445.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $724.01 / $1,111.42 / $1,795.43	Facility		$724.01	$1,111.42	$1,795.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.01 / $1,111.42 / $1,795.43	Professional		$724.01	$1,111.42	$1,795.43
United Facility/Professional Professional Modifier Low / Median / High Price $608.77 / $732.53 / $1,100.61	Professional		$608.77	$732.53	$1,100.61