Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.54 / $904.30 / $904.30	Facility		$748.54	$904.30	$904.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.54 / $904.30 / $1,047.83	Professional		$748.54	$904.30	$1,047.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,828.93 / $1,828.93 / $1,942.32	Facility		$1,828.93	$1,828.93	$1,942.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.47 / $1,095.47 / $1,390.18	Professional		$1,095.47	$1,095.47	$1,390.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $981.00 / $981.00 / $1,250.24	Professional		$981.00	$981.00	$1,250.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,186.93	Facility		$1,186.93	$1,186.93	$1,186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $866.46 / $1,186.93	Professional		$866.46	$866.46	$1,186.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,280.25 / $1,646.04 / $2,194.71	Professional		$1,280.25	$1,646.04	$2,194.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $576.95 / $1,124.82 / $2,081.91	Facility		$576.95	$1,124.82	$2,081.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,059.00 / $2,286.16 / $3,046.40	Professional		$1,059.00	$2,286.16	$3,046.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,002.02 / $1,380.27 / $2,182.79	Facility		$1,002.02	$1,380.27	$2,182.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,002.02 / $1,380.27 / $2,182.79	Professional		$1,002.02	$1,380.27	$2,182.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $824.67 / $912.43 / $1,454.41	Professional		$824.67	$912.43	$1,454.41