Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.76 / $718.51 / $718.51	Facility		$594.76	$718.51	$718.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.76 / $718.51 / $799.70	Professional		$594.76	$718.51	$799.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,453.18 / $1,453.18 / $1,543.28	Facility		$1,453.18	$1,453.18	$1,543.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.54 / $804.54 / $1,005.75	Professional		$804.54	$804.54	$1,005.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $928.26 / $928.26 / $993.38	Professional		$928.26	$928.26	$993.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $831.10	Facility		$831.10	$831.10	$831.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $606.70 / $1,154.08	Professional		$606.70	$606.70	$1,154.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.23 / $1,307.85 / $1,743.82	Professional		$1,017.23	$1,307.85	$1,743.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $428.38 / $811.92 / $1,623.67	Facility		$428.38	$811.92	$1,623.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,095.39 / $1,816.48 / $2,420.53	Professional		$1,095.39	$1,816.48	$2,420.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $796.15 / $1,117.16 / $1,776.91	Facility		$796.15	$1,117.16	$1,776.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $796.15 / $1,117.16 / $1,776.91	Professional		$796.15	$1,117.16	$1,776.91
United Facility/Professional Professional Modifier Low / Median / High Price $613.51 / $724.97 / $1,089.27	Professional		$613.51	$724.97	$1,089.27