Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.79 / $766.88 / $766.88	Facility		$634.79	$766.88	$766.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.79 / $766.88 / $853.53	Professional		$634.79	$766.88	$853.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.00 / $1,551.00 / $1,647.16	Facility		$1,551.00	$1,551.00	$1,647.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.30 / $929.30 / $1,161.71	Professional		$929.30	$929.30	$1,161.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $865.87 / $865.87 / $1,060.26	Professional		$865.87	$865.87	$1,060.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,115.23	Facility		$1,115.23	$1,115.23	$1,115.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,115.23	Professional		$814.12	$814.12	$1,115.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,085.70 / $1,395.90 / $1,861.20	Professional		$1,085.70	$1,395.90	$1,861.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.21 / $941.43 / $1,732.99	Facility		$457.21	$941.43	$1,732.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,120.93 / $1,938.75 / $2,583.46	Professional		$1,120.93	$1,938.75	$2,583.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $849.75 / $1,170.53 / $1,851.09	Facility		$849.75	$1,170.53	$1,851.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $849.75 / $1,170.53 / $1,851.09	Professional		$849.75	$1,170.53	$1,851.09
United Facility/Professional Professional Modifier Low / Median / High Price $643.05 / $773.78 / $1,162.59	Professional		$643.05	$773.78	$1,162.59