Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,995.26	Facility		$630.96	$758.58	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,412.54	Professional		$630.96	$776.25	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,698.24	Facility		$1,584.89	$1,584.89	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,949.84	Professional		$933.25	$933.25	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,096.48	Professional		$870.96	$870.96	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,122.02	Facility		$676.08	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,122.02	Professional		$812.83	$812.83	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,238.72	Professional		$1,096.48	$1,584.89	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,548.82	Professional		$794.33	$1,047.13	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,905.46	Facility		$630.96	$1,047.13	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,995.26	Professional		$851.14	$954.99	$1,995.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $3,388.44	Facility		$851.14	$1,288.25	$3,388.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $3,388.44	Professional		$851.14	$1,288.25	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $2,290.87	Facility		$478.63	$707.95	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,230.27	Professional		$691.83	$776.25	$1,230.27