Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.87 / $766.97 / $766.97	Facility		$634.87	$766.97	$766.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.87 / $766.97 / $824.30	Professional		$634.87	$766.97	$824.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.19 / $1,551.19 / $1,647.36	Facility		$1,551.19	$1,551.19	$1,647.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.05 / $816.05 / $1,054.61	Professional		$816.05	$816.05	$1,054.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $865.97 / $865.97 / $1,060.38	Professional		$865.97	$865.97	$1,060.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $969.19	Facility		$969.19	$969.19	$969.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $707.51 / $707.51	Professional		$707.51	$707.51	$707.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,085.83 / $1,396.07 / $1,861.43	Professional		$1,085.83	$1,396.07	$1,861.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $442.03 / $907.86 / $1,733.21	Facility		$442.03	$907.86	$1,733.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $962.88 / $1,938.99 / $2,583.77	Professional		$962.88	$1,938.99	$2,583.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $849.85 / $1,170.67 / $1,851.31	Facility		$849.85	$1,170.67	$1,851.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $849.85 / $1,170.67 / $1,851.31	Professional		$849.85	$1,170.67	$1,851.31
United Facility/Professional Professional Modifier Low / Median / High Price $621.70 / $773.87 / $1,165.73	Professional		$621.70	$773.87	$1,165.73