Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $691.83 / $1,096.48	Facility		$575.44	$691.83	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,479.11	Professional		$575.44	$741.31	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,513.56	Facility		$1,412.54	$1,412.54	$1,513.56
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 $758.58 / $758.58 / $977.24	Professional		$758.58	$758.58	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $831.76 / $831.76	Facility		$562.34	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $831.76	Professional		$616.60	$616.60	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,995.26	Professional		$1,000.00	$1,412.54	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,412.54	Professional		$676.08	$933.25	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $1,905.46	Facility		$575.44	$954.99	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $794.33 / $1,778.28	Professional		$776.25	$794.33	$1,778.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,174.90 / $3,090.30	Facility		$776.25	$1,174.90	$3,090.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $3,090.30	Professional		$776.25	$1,174.90	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $1,819.70	Facility		$457.09	$660.69	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $1,122.02	Professional		$630.96	$691.83	$1,122.02