Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.14 / $850.64 / $850.64	Facility		$704.14	$850.64	$850.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.14 / $850.64 / $1,033.30	Professional		$704.14	$850.64	$1,033.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,720.43 / $1,720.43 / $1,827.10	Facility		$1,720.43	$1,720.43	$1,827.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.83 / $1,047.83 / $1,340.89	Professional		$1,047.83	$1,047.83	$1,340.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $922.00 / $922.00 / $1,176.07	Professional		$922.00	$922.00	$1,176.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,212.63	Facility		$1,212.63	$1,212.63	$1,212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $885.22 / $1,212.63	Professional		$885.22	$885.22	$1,212.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,204.30 / $1,548.39 / $2,064.52	Professional		$1,204.30	$1,548.39	$2,064.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $554.10 / $1,058.09 / $1,958.41	Facility		$554.10	$1,058.09	$1,958.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.00 / $2,150.54 / $2,865.68	Professional		$1,096.00	$2,150.54	$2,865.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $992.42 / $1,298.39 / $1,968.72	Facility		$992.42	$1,298.39	$1,968.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $992.42 / $1,298.39 / $1,968.72	Professional		$992.42	$1,298.39	$1,968.72
United Facility/Professional Professional Modifier Low / Median / High Price $775.75 / $858.30 / $1,292.91	Professional		$775.75	$858.30	$1,292.91