Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.32 / $876.23 / $876.23	Facility		$725.32	$876.23	$876.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.32 / $876.23 / $1,250.38	Professional		$725.32	$876.23	$1,250.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,772.18 / $1,772.18 / $1,882.06	Facility		$1,772.18	$1,772.18	$1,882.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,079.00 / $1,079.00 / $1,348.85	Professional		$1,079.00	$1,079.00	$1,348.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $1,211.45	Professional		$950.00	$950.00	$1,211.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $1,107.01	Facility		$1,107.01	$1,107.01	$1,107.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $808.12 / $1,558.66	Professional		$808.12	$808.12	$1,558.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.53 / $1,594.96 / $2,126.62	Professional		$1,240.53	$1,594.96	$2,126.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $570.59 / $1,089.92 / $2,038.01	Facility		$570.59	$1,089.92	$2,038.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,086.00 / $2,215.23 / $2,951.87	Professional		$1,086.00	$2,215.23	$2,951.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $970.92 / $1,337.45 / $2,115.06	Facility		$970.92	$1,337.45	$2,115.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $970.92 / $1,337.45 / $2,115.06	Professional		$970.92	$1,337.45	$2,115.06
United Facility/Professional Professional Modifier Low / Median / High Price $799.08 / $884.12 / $1,361.73	Professional		$799.08	$884.12	$1,361.73