Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.48 / $955.48 / $965.65	Facility		$955.48	$955.48	$965.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.48 / $955.48 / $1,142.18	Professional		$955.48	$955.48	$1,142.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,811.66 / $1,811.66 / $1,923.98	Facility		$1,811.66	$1,811.66	$1,923.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,106.79 / $1,106.79 / $1,437.98	Professional		$1,106.79	$1,106.79	$1,437.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $971.00 / $1,015.27 / $1,238.44	Professional		$971.00	$1,015.27	$1,238.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $1,349.13	Facility		$1,349.13	$1,349.13	$1,349.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $1,210.50	Professional		$984.86	$984.86	$1,210.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,268.16 / $1,630.49 / $2,173.98	Professional		$1,268.16	$1,630.49	$2,173.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $1,149.11 / $2,062.27	Facility		$583.49	$1,149.11	$2,062.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,019.00 / $2,379.63 / $3,017.65	Professional		$1,019.00	$2,379.63	$3,017.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $992.56 / $1,361.47 / $2,162.19	Facility		$992.56	$1,361.47	$2,162.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $992.56 / $1,361.47 / $2,162.19	Professional		$992.56	$1,361.47	$2,162.19
United Facility/Professional Professional Modifier Low / Median / High Price $842.34 / $903.82 / $1,392.75	Professional		$842.34	$903.82	$1,392.75