Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.30 / $910.30 / $919.99	Facility		$910.30	$910.30	$919.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.30 / $910.30 / $1,088.18	Professional		$910.30	$910.30	$1,088.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,726.01 / $1,726.01 / $1,833.02	Facility		$1,726.01	$1,726.01	$1,833.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,054.47 / $1,054.47 / $1,373.90	Professional		$1,054.47	$1,054.47	$1,373.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $925.00 / $925.00 / $925.00	Professional		$925.00	$925.00	$925.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $1,232.72	Facility		$1,232.72	$1,232.72	$1,232.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $899.89 / $1,232.72	Professional		$899.89	$899.89	$1,232.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,208.21 / $1,553.41 / $2,071.21	Professional		$1,208.21	$1,553.41	$2,071.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $555.90 / $1,094.79 / $1,964.76	Facility		$555.90	$1,094.79	$1,964.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $971.00 / $2,267.12 / $2,874.97	Professional		$971.00	$2,267.12	$2,874.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $945.63 / $1,302.59 / $2,059.96	Facility		$945.63	$1,302.59	$2,059.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,302.59 / $2,059.96	Professional		$945.63	$1,302.59	$2,059.96
United Facility/Professional Professional Modifier Low / Median / High Price $778.27 / $861.09 / $1,326.91	Professional		$778.27	$861.09	$1,326.91