Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $2,398.83	Facility		$758.58	$912.01	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,621.81	Professional		$758.58	$912.01	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,041.74	Facility		$1,905.46	$1,905.46	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,238.72	Professional		$1,071.52	$1,071.52	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,318.26	Professional		$1,047.13	$1,047.13	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,096.48	Facility		$851.14	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,096.48	Professional		$812.83	$812.83	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $2,691.53	Professional		$1,318.26	$1,905.46	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,862.09	Professional		$870.96	$1,258.93	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $2,290.87	Facility		$758.58	$1,230.27	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,398.83	Professional		$1,023.29	$1,230.27	$2,398.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $4,073.80	Facility		$1,023.29	$1,548.82	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $4,073.80	Professional		$1,023.29	$1,548.82	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $870.96 / $2,818.38	Facility		$588.84	$870.96	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,479.11	Professional		$831.76	$933.25	$1,479.11