Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.70 / $771.59 / $771.59	Facility		$638.70	$771.59	$771.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.70 / $771.59 / $954.08	Professional		$638.70	$771.59	$954.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,560.54 / $1,560.54 / $1,657.29	Facility		$1,560.54	$1,560.54	$1,657.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.43 / $859.43 / $1,074.36	Professional		$859.43	$859.43	$1,074.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $837.00 / $837.00 / $1,066.77	Professional		$837.00	$837.00	$1,066.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $891.35 / $891.35	Facility		$891.35	$891.35	$891.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $650.69 / $1,211.76	Professional		$650.69	$650.69	$1,211.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.38 / $1,404.49 / $1,872.65	Professional		$1,092.38	$1,404.49	$1,872.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $459.43 / $959.76 / $1,776.40	Facility		$459.43	$959.76	$1,776.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $968.00 / $1,950.68 / $2,599.35	Professional		$968.00	$1,950.68	$2,599.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $854.97 / $1,177.72 / $1,862.46	Facility		$854.97	$1,177.72	$1,862.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $854.97 / $1,177.72 / $1,862.46	Professional		$854.97	$1,177.72	$1,862.46
United Facility/Professional Professional Modifier Low / Median / High Price $657.98 / $778.53 / $1,172.75	Professional		$657.98	$778.53	$1,172.75