Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.85 / $761.85 / $769.96	Facility		$761.85	$761.85	$769.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.85 / $761.85 / $940.46	Professional		$761.85	$761.85	$940.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,444.54 / $1,444.54 / $1,534.10	Facility		$1,444.54	$1,444.54	$1,534.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $878.44 / $878.44 / $1,135.09	Professional		$878.44	$878.44	$1,135.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $775.00 / $775.00 / $987.48	Professional		$775.00	$775.00	$987.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $902.63	Facility		$902.63	$902.63	$902.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $658.92 / $902.63	Professional		$658.92	$658.92	$902.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,011.18 / $1,300.08 / $1,733.45	Professional		$1,011.18	$1,300.08	$1,733.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $465.25 / $888.42 / $1,644.36	Facility		$465.25	$888.42	$1,644.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $919.00 / $1,897.40 / $2,406.13	Professional		$919.00	$1,897.40	$2,406.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $791.42 / $1,090.18 / $1,724.03	Facility		$791.42	$1,090.18	$1,724.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $791.42 / $1,090.18 / $1,724.03	Professional		$791.42	$1,090.18	$1,724.03
United Facility/Professional Professional Modifier Low / Median / High Price $671.27 / $720.66 / $1,110.52	Professional		$671.27	$720.66	$1,110.52