Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.56 / $793.18 / $793.18	Facility		$656.56	$793.18	$793.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.56 / $793.18 / $977.48	Professional		$656.56	$793.18	$977.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,604.19 / $1,604.19 / $1,703.65	Facility		$1,604.19	$1,604.19	$1,703.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.53 / $975.53 / $1,267.38	Professional		$975.53	$975.53	$1,267.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $895.56 / $895.56 / $1,096.60	Professional		$895.56	$895.56	$1,096.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $1,025.33	Facility		$1,025.33	$1,025.33	$1,025.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $748.49 / $1,025.33	Professional		$748.49	$748.49	$1,025.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.93 / $1,443.77 / $1,925.03	Professional		$1,122.93	$1,443.77	$1,925.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $516.66 / $986.61 / $1,799.93	Facility		$516.66	$986.61	$1,799.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $2,005.24 / $2,672.06	Professional		$897.00	$2,005.24	$2,672.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $878.89 / $1,214.27 / $1,961.57	Facility		$878.89	$1,214.27	$1,961.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $878.89 / $1,214.27 / $1,961.57	Professional		$878.89	$1,214.27	$1,961.57
United Facility/Professional Professional Modifier Low / Median / High Price $723.34 / $800.32 / $1,275.69	Professional		$723.34	$800.32	$1,275.69