Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.05 / $624.64 / $624.64	Facility		$517.05	$624.64	$624.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.05 / $624.64 / $838.38	Professional		$517.05	$624.64	$838.38
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 $770.62 / $770.62 / $999.64	Professional		$770.62	$770.62	$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 $1,014.49 / $1,014.49 / $1,014.49	Facility		$1,014.49	$1,014.49	$1,014.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $740.58 / $1,014.49	Professional		$740.58	$740.58	$1,014.49
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 $692.15 / $953.43 / $1,507.76	Facility		$692.15	$953.43	$1,507.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $692.15 / $953.43 / $1,507.76	Professional		$692.15	$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