Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.73 / $859.73 / $868.88	Facility		$859.73	$859.73	$868.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.49 / $859.73 / $1,012.88	Professional		$859.49	$859.73	$1,012.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,630.12 / $1,630.12 / $1,731.19	Facility		$1,630.12	$1,630.12	$1,731.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.06 / $979.06 / $1,275.77	Professional		$979.06	$979.06	$1,275.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $874.00 / $1,114.33	Professional		$874.00	$874.00	$1,114.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $1,018.60	Facility		$1,018.60	$1,018.60	$1,018.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $1,018.60	Professional		$743.58	$743.58	$1,018.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.08 / $1,467.11 / $1,956.14	Professional		$1,141.08	$1,467.11	$1,956.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $525.02 / $1,002.55 / $1,855.61	Facility		$525.02	$1,002.55	$1,855.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $919.00 / $2,141.17 / $2,715.25	Professional		$919.00	$2,141.17	$2,715.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $893.10 / $1,230.24 / $1,945.52	Facility		$893.10	$1,230.24	$1,945.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $893.10 / $1,230.24 / $1,945.52	Professional		$893.10	$1,230.24	$1,945.52
United Facility/Professional Professional Modifier Low / Median / High Price $735.02 / $813.25 / $1,253.19	Professional		$735.02	$813.25	$1,253.19