Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.64 / $1,125.41 / $2,177.26	Facility		$624.64	$1,125.41	$2,177.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.05 / $624.64 / $891.42	Professional		$517.05	$624.64	$891.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,263.33 / $1,263.33 / $1,341.66	Facility		$1,263.33	$1,263.33	$1,341.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.53 / $765.53 / $999.64	Professional		$765.53	$765.53	$999.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $705.27 / $705.27 / $863.60	Professional		$705.27	$705.27	$863.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $906.54	Professional		$661.77	$661.77	$906.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.33 / $1,137.00 / $1,516.00	Professional		$884.33	$1,137.00	$1,516.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $406.89 / $776.98 / $1,417.48	Facility		$406.89	$776.98	$1,417.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,006.59 / $1,579.16 / $2,104.31	Professional		$1,006.59	$1,579.16	$2,104.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $664.46 / $953.43 / $1,507.76	Facility		$664.46	$953.43	$1,507.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $664.46 / $953.43 / $1,507.76	Professional		$664.46	$953.43	$1,507.76
United Facility/Professional Professional Modifier Low / Median / High Price $569.64 / $630.26 / $949.40	Professional		$569.64	$630.26	$949.40