Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.86 / $630.44 / $630.44	Facility		$521.86	$630.44	$630.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.86 / $630.44 / $805.94	Professional		$521.86	$630.44	$805.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,275.06 / $1,275.06 / $1,354.11	Facility		$1,275.06	$1,275.06	$1,354.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.39 / $775.39 / $983.67	Professional		$775.39	$775.39	$983.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $684.00 / $871.62	Professional		$684.00	$684.00	$871.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,057.34	Facility		$1,057.34	$1,057.34	$1,057.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $771.87 / $1,057.34	Professional		$771.87	$771.87	$1,057.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.54 / $1,147.55 / $1,530.07	Professional		$892.54	$1,147.55	$1,530.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $410.67 / $784.19 / $1,451.44	Facility		$410.67	$784.19	$1,451.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $1,593.83 / $2,123.84	Professional		$718.00	$1,593.83	$2,123.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $698.57 / $962.28 / $1,521.76	Facility		$698.57	$962.28	$1,521.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $698.57 / $962.28 / $1,521.76	Professional		$698.57	$962.28	$1,521.76
United Facility/Professional Professional Modifier Low / Median / High Price $574.92 / $636.11 / $958.22	Professional		$574.92	$636.11	$958.22