Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.66 / $678.53 / $678.53	Facility		$561.66	$678.53	$678.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.66 / $678.53 / $755.19	Professional		$561.66	$678.53	$755.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,372.31 / $1,372.31 / $1,457.39	Facility		$1,372.31	$1,372.31	$1,457.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.52 / $735.52 / $919.47	Professional		$735.52	$735.52	$919.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $876.61 / $876.61 / $938.11	Professional		$876.61	$876.61	$938.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $907.46	Facility		$907.46	$907.46	$907.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $662.45 / $1,085.00	Professional		$662.45	$662.45	$1,085.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.62 / $1,235.08 / $1,646.77	Professional		$960.62	$1,235.08	$1,646.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $404.54 / $793.88 / $1,533.32	Facility		$404.54	$793.88	$1,533.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,034.43 / $1,715.39 / $2,285.83	Professional		$1,034.43	$1,715.39	$2,285.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $751.85 / $1,063.44 / $1,718.36	Facility		$751.85	$1,063.44	$1,718.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $751.85 / $1,063.44 / $1,718.36	Professional		$751.85	$1,063.44	$1,718.36
United Facility/Professional Professional Modifier Low / Median / High Price $568.97 / $684.64 / $1,028.67	Professional		$568.97	$684.64	$1,028.67