Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $891.25 / $2,290.87	Facility		$741.31	$891.25	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,621.81	Professional		$741.31	$891.25	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,949.84	Facility		$1,819.70	$1,819.70	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,089.30	Professional		$1,000.00	$1,000.00	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,258.93	Professional		$1,148.15	$1,148.15	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,023.29	Facility		$776.25	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,023.29	Professional		$758.58	$758.58	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,570.40	Professional		$1,288.25	$1,819.70	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,202.26	Professional		$933.25	$1,202.26	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,238.72	Facility		$741.31	$1,202.26	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $2,290.87	Professional		$977.24	$1,122.02	$2,290.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $4,073.80	Facility		$977.24	$1,548.82	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $3,981.07	Professional		$977.24	$1,548.82	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $2,630.27	Facility		$562.34	$812.83	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,445.44	Professional		$812.83	$891.25	$1,445.44