Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.58 / $921.58 / $931.39	Facility		$921.58	$921.58	$931.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.23 / $921.58 / $1,049.50	Professional		$919.23	$921.58	$1,049.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,747.40 / $1,747.40 / $1,855.74	Facility		$1,747.40	$1,747.40	$1,855.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,062.60 / $1,062.60 / $1,382.32	Professional		$1,062.60	$1,062.60	$1,382.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $937.00 / $937.00 / $1,194.51	Professional		$937.00	$937.00	$1,194.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.05 / $1,375.24 / $1,375.24	Facility		$934.05	$1,375.24	$1,375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,375.24	Professional		$1,003.93	$1,003.93	$1,375.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,223.18 / $1,572.66 / $2,096.88	Professional		$1,223.18	$1,572.66	$2,096.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.79 / $1,092.54 / $1,989.10	Facility		$562.79	$1,092.54	$1,989.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $983.00 / $2,295.21 / $2,910.60	Professional		$983.00	$2,295.21	$2,910.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $957.35 / $1,313.18 / $2,085.48	Facility		$957.35	$1,313.18	$2,085.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $957.35 / $1,313.18 / $2,085.48	Professional		$957.35	$1,313.18	$2,085.48
United Facility/Professional Professional Modifier Low / Median / High Price $812.46 / $871.76 / $1,343.35	Professional		$812.46	$871.76	$1,343.35