Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.12 / $732.24 / $732.24	Facility		$606.12	$732.24	$732.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.12 / $732.24 / $826.33	Professional		$606.12	$732.24	$826.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,480.95 / $1,480.95 / $1,572.77	Facility		$1,480.95	$1,480.95	$1,572.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.98 / $789.98 / $1,051.61	Professional		$789.98	$789.98	$1,051.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $794.00 / $1,012.37	Professional		$794.00	$794.00	$1,012.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $842.96	Facility		$842.96	$842.96	$842.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $842.96	Professional		$615.36	$615.36	$842.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,036.67 / $1,332.86 / $1,777.14	Professional		$1,036.67	$1,332.86	$1,777.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $434.49 / $910.81 / $1,661.63	Facility		$434.49	$910.81	$1,661.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $862.00 / $1,851.19 / $2,466.78	Professional		$862.00	$1,851.19	$2,466.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $811.37 / $1,117.67 / $1,767.48	Facility		$811.37	$1,117.67	$1,767.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $811.37 / $1,117.67 / $1,767.48	Professional		$811.37	$1,117.67	$1,767.48
United Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $738.83 / $1,112.94	Professional		$611.10	$738.83	$1,112.94