Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.67 / $715.99 / $715.99	Facility		$592.67	$715.99	$715.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.67 / $715.99 / $816.12	Professional		$592.67	$715.99	$816.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,448.10 / $1,448.10 / $1,537.88	Facility		$1,448.10	$1,448.10	$1,537.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.44 / $811.44 / $1,028.17	Professional		$811.44	$811.44	$1,028.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $776.00 / $989.91	Professional		$776.00	$776.00	$989.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $832.50	Facility		$832.50	$832.50	$832.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $607.73 / $832.50	Professional		$607.73	$607.73	$832.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.67 / $1,303.29 / $1,737.72	Professional		$1,013.67	$1,303.29	$1,737.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $429.10 / $890.60 / $1,624.78	Facility		$429.10	$890.60	$1,624.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $749.00 / $1,810.13 / $2,412.06	Professional		$749.00	$1,810.13	$2,412.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $793.37 / $1,096.10 / $1,770.69	Facility		$793.37	$1,096.10	$1,770.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $793.37 / $1,096.10 / $1,770.69	Professional		$793.37	$1,096.10	$1,770.69
United Facility/Professional Professional Modifier Low / Median / High Price $652.95 / $722.44 / $1,088.25	Professional		$652.95	$722.44	$1,088.25