Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.74 / $766.81 / $766.81	Facility		$634.74	$766.81	$766.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.74 / $766.81 / $862.74	Professional		$634.74	$766.81	$862.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,550.87 / $1,550.87 / $1,647.02	Facility		$1,550.87	$1,550.87	$1,647.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.87 / $874.87 / $1,118.04	Professional		$874.87	$874.87	$1,118.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $832.00 / $832.00 / $1,060.16	Professional		$832.00	$832.00	$1,060.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $897.58	Facility		$897.58	$897.58	$897.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $897.58	Professional		$655.23	$655.23	$897.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,085.60 / $1,395.78 / $1,861.04	Professional		$1,085.60	$1,395.78	$1,861.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $462.65 / $953.81 / $1,740.10	Facility		$462.65	$953.81	$1,740.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $1,938.59 / $2,583.25	Professional		$826.00	$1,938.59	$2,583.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $849.67 / $1,173.91 / $1,896.35	Facility		$849.67	$1,173.91	$1,896.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $849.67 / $1,173.91 / $1,896.35	Professional		$849.67	$1,173.91	$1,896.35
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $650.70 / $773.71 / $1,162.49	Professional		$650.70	$773.71	$1,162.49