Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,344.23 / $3,162.28	Facility		$707.95	$2,344.23	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,584.89	Professional		$707.95	$891.25	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,905.46	Facility		$1,778.28	$1,778.28	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $2,041.74	Professional		$977.24	$977.24	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,230.27	Professional		$912.01	$912.01	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,174.90	Facility		$758.58	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Professional		$851.14	$851.14	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,511.89	Professional		$1,258.93	$1,778.28	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,737.80	Professional		$912.01	$1,174.90	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,174.90 / $2,089.30	Facility		$707.95	$1,174.90	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $2,238.72	Professional		$954.99	$1,071.52	$2,238.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $3,801.89	Facility		$954.99	$1,445.44	$3,801.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $3,801.89	Professional		$954.99	$1,445.44	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $2,570.40	Facility		$537.03	$794.33	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,412.54	Professional		$794.33	$870.96	$1,412.54