Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.99 / $812.99 / $821.64	Facility		$812.99	$812.99	$821.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.99 / $812.99 / $925.83	Professional		$812.99	$812.99	$925.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,541.50 / $1,541.50 / $1,637.07	Facility		$1,541.50	$1,541.50	$1,637.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,450.68 / $1,450.68 / $1,783.75	Professional		$1,450.68	$1,450.68	$1,783.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $827.00 / $827.00 / $1,053.76	Professional		$827.00	$827.00	$1,053.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $963.22	Facility		$963.22	$963.22	$963.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $703.15 / $963.23	Professional		$703.15	$703.15	$963.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.05 / $1,387.35 / $1,849.80	Professional		$1,079.05	$1,387.35	$1,849.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $496.48 / $977.75 / $1,754.73	Facility		$496.48	$977.75	$1,754.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $867.00 / $2,024.76 / $2,567.64	Professional		$867.00	$2,024.76	$2,567.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $844.55 / $1,163.35 / $1,839.76	Facility		$844.55	$1,163.35	$1,839.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $844.55 / $1,163.35 / $1,839.76	Professional		$844.55	$1,163.35	$1,839.76
United Facility/Professional Professional Modifier Low / Median / High Price $716.32 / $769.04 / $1,185.07	Professional		$716.32	$769.04	$1,185.07