Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.66 / $753.66 / $761.68	Facility		$753.66	$753.66	$761.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.88 / $753.66 / $825.33	Professional		$722.88	$753.66	$825.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $1,429.00 / $1,517.60	Facility		$1,429.00	$1,429.00	$1,517.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.51 / $839.51 / $1,056.23	Professional		$839.51	$839.51	$1,056.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $766.00 / $766.00 / $766.00	Professional		$766.00	$766.00	$766.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,036.33	Facility		$1,036.33	$1,036.33	$1,036.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $756.53 / $1,036.33	Professional		$756.53	$756.53	$1,036.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.30 / $1,286.09 / $1,714.80	Professional		$1,000.30	$1,286.09	$1,714.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $442.58 / $881.78 / $1,643.35	Facility		$442.58	$881.78	$1,643.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $773.00 / $1,877.01 / $2,380.26	Professional		$773.00	$1,877.01	$2,380.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $782.91 / $1,078.46 / $1,705.49	Facility		$782.91	$1,078.46	$1,705.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $782.91 / $1,078.46 / $1,705.49	Professional		$782.91	$1,078.46	$1,705.49
United Facility/Professional Professional Modifier Low / Median / High Price $664.05 / $712.91 / $1,056.42	Professional		$664.05	$712.91	$1,056.42