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 $602.56 / $758.58 / $1,202.26	Professional		$602.56	$758.58	$1,202.26
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 $812.83 / $812.83 / $1,698.24	Professional		$812.83	$812.83	$1,698.24
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 $575.44 / $977.24 / $977.24	Facility		$575.44	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $977.24	Professional		$707.95	$707.95	$977.24
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 $912.01 / $1,047.13 / $1,548.82	Professional		$912.01	$1,047.13	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,905.46	Facility		$602.56	$1,023.29	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,995.26	Professional		$851.14	$851.14	$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 $467.74 / $676.08 / $2,187.76	Facility		$467.74	$676.08	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,230.27	Professional		$676.08	$776.25	$1,230.27