Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.94 / $889.07 / $889.07	Facility		$735.94	$889.07	$889.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.94 / $889.07 / $989.53	Professional		$735.94	$889.07	$989.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,798.13 / $1,798.13 / $1,909.61	Facility		$1,798.13	$1,798.13	$1,909.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.36 / $1,002.36 / $1,280.49	Professional		$1,002.36	$1,002.36	$1,280.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.60 / $1,148.60 / $1,229.19	Professional		$1,148.60	$1,148.60	$1,229.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.78 / $1,191.78 / $1,191.78	Facility		$1,191.78	$1,191.78	$1,191.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $1,191.78	Professional		$870.00	$870.00	$1,191.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.69 / $1,618.32 / $2,157.76	Professional		$1,258.69	$1,618.32	$2,157.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $530.05 / $1,040.21 / $2,009.12	Facility		$530.05	$1,040.21	$2,009.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,355.41 / $2,247.66 / $2,995.11	Professional		$1,355.41	$2,247.66	$2,995.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $985.15 / $1,393.42 / $2,297.23	Facility		$985.15	$1,393.42	$2,297.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $985.15 / $1,393.42 / $2,297.23	Professional		$985.15	$1,393.42	$2,297.23
United Facility/Professional Professional Modifier Low / Median / High Price $745.52 / $897.07 / $1,351.31	Professional		$745.52	$897.07	$1,351.31