Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $870.96 / $870.96	Facility		$851.14	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,445.44	Professional		$707.95	$870.96	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,778.28	Facility		$1,659.59	$1,659.59	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $2,041.74	Professional		$977.24	$977.24	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,148.15	Professional		$870.96	$870.96	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,023.29	Facility		$741.31	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,023.29	Professional		$741.31	$741.31	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,344.23	Professional		$1,174.90	$1,659.59	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,621.81	Professional		$1,096.48	$1,096.48	$1,621.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,202.26 / $2,187.76	Facility		$707.95	$1,202.26	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,202.26	Professional		$891.25	$1,096.48	$1,202.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,348.96 / $3,548.13	Facility		$891.25	$1,348.96	$3,548.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $3,548.13	Professional		$891.25	$1,348.96	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,230.27 / $2,238.72	Facility		$616.60	$1,230.27	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $1,258.93	Professional		$758.58	$812.83	$1,258.93