Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.10 / $624.64 / $624.64	Facility		$376.10	$624.64	$624.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.10 / $624.64 / $624.64	Professional		$376.10	$624.64	$624.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $898.49 / $898.49 / $954.20	Facility		$898.49	$898.49	$954.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.91 / $800.91 / $1,001.21	Professional		$800.91	$800.91	$1,001.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $765.37 / $840.46 / $840.46	Professional		$765.37	$840.46	$840.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $854.15	Facility		$854.15	$854.15	$854.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $623.53 / $854.15	Professional		$623.53	$623.53	$854.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.83 / $756.64 / $1,189.00	Professional		$551.83	$756.64	$1,189.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $692.15 / $1,301.33	Facility		$288.18	$692.15	$1,301.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,006.59 / $1,290.74 / $1,670.99	Professional		$1,006.59	$1,290.74	$1,670.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $657.54 / $988.78 / $1,285.41	Facility		$657.54	$988.78	$1,285.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $657.54 / $988.78 / $1,285.41	Professional		$657.54	$988.78	$1,285.41
United Facility/Professional Professional Modifier Low / Median / High Price $593.27 / $630.26 / $988.78	Professional		$593.27	$630.26	$988.78