Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.59 / $734.00 / $734.00	Facility		$607.59	$734.00	$734.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.59 / $734.00 / $954.65	Professional		$607.59	$734.00	$954.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,484.52 / $1,484.52 / $1,576.56	Facility		$1,484.52	$1,484.52	$1,576.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.15 / $904.15 / $1,158.31	Professional		$904.15	$904.15	$1,158.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.19 / $870.19 / $1,014.81	Professional		$870.19	$870.19	$1,014.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,149.77	Facility		$1,149.77	$1,149.77	$1,149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $839.33 / $1,149.77	Professional		$839.33	$839.33	$1,149.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,039.16 / $1,336.07 / $1,781.42	Professional		$1,039.16	$1,336.07	$1,781.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.13 / $913.01 / $1,689.87	Facility		$478.13	$913.01	$1,689.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $951.00 / $1,855.65 / $2,472.73	Professional		$951.00	$1,855.65	$2,472.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $813.33 / $1,120.35 / $1,771.74	Facility		$813.33	$1,120.35	$1,771.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $813.33 / $1,120.35 / $1,771.74	Professional		$813.33	$1,120.35	$1,771.74
United Facility/Professional Professional Modifier Low / Median / High Price $669.38 / $740.61 / $1,115.63	Professional		$669.38	$740.61	$1,115.63