Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,318.26	Professional		$676.08	$794.33	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,584.89	Facility		$1,479.11	$1,479.11	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,819.70	Professional		$870.96	$870.96	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,023.29	Professional		$776.25	$776.25	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $912.01 / $912.01	Facility		$812.83	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,089.30	Professional		$1,047.13	$1,479.11	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $977.24 / $1,479.11	Professional		$912.01	$977.24	$1,479.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,995.26	Facility		$645.65	$1,096.48	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,096.48	Professional		$794.33	$977.24	$1,096.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $3,235.94	Facility		$794.33	$1,230.27	$3,235.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $3,235.94	Professional		$794.33	$1,230.27	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,096.48 / $1,995.26	Facility		$549.54	$1,096.48	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $1,122.02	Professional		$676.08	$724.44	$1,122.02