Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.66 / $770.66 / $778.86	Facility		$770.66	$770.66	$778.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.66 / $770.66 / $943.93	Professional		$770.66	$770.66	$943.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,461.23 / $1,461.23 / $1,551.83	Facility		$1,461.23	$1,461.23	$1,551.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.36 / $880.36 / $1,145.01	Professional		$880.36	$880.36	$1,145.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $784.00 / $818.88 / $998.89	Professional		$784.00	$818.88	$998.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.08 / $913.06 / $913.06	Facility		$781.08	$913.06	$913.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $666.53 / $913.06	Professional		$666.53	$666.53	$913.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.86 / $1,315.11 / $1,753.48	Professional		$1,022.86	$1,315.11	$1,753.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $470.62 / $926.84 / $1,663.35	Facility		$470.62	$926.84	$1,663.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $863.00 / $1,919.33 / $2,433.94	Professional		$863.00	$1,919.33	$2,433.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $800.56 / $1,098.11 / $1,743.94	Facility		$800.56	$1,098.11	$1,743.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $800.56 / $1,098.11 / $1,743.94	Professional		$800.56	$1,098.11	$1,743.94
United Facility/Professional Professional Modifier Low / Median / High Price $679.40 / $728.99 / $1,123.34	Professional		$679.40	$728.99	$1,123.34