Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.52 / $858.52 / $867.66	Facility		$858.52	$858.52	$867.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.26 / $858.52 / $867.66	Professional		$677.26	$858.52	$867.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.83 / $1,627.83 / $1,728.76	Facility		$1,627.83	$1,627.83	$1,728.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.01 / $871.01 / $1,132.16	Professional		$871.01	$871.01	$1,132.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $873.00 / $912.25 / $1,112.78	Professional		$873.00	$912.25	$1,112.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $895.00	Facility		$895.00	$895.00	$895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $653.35 / $895.00	Professional		$653.35	$653.35	$895.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.48 / $1,465.05 / $1,953.40	Professional		$1,139.48	$1,465.05	$1,953.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $461.31 / $1,004.47 / $1,853.01	Facility		$461.31	$1,004.47	$1,853.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $805.00 / $2,138.17 / $2,711.45	Professional		$805.00	$2,138.17	$2,711.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.84 / $1,228.50 / $1,942.79	Facility		$891.84	$1,228.50	$1,942.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.84 / $1,228.50 / $1,942.79	Professional		$891.84	$1,228.50	$1,942.79
United Facility/Professional Professional Modifier Low / Median / High Price $727.10 / $812.11 / $1,165.07	Professional		$727.10	$812.11	$1,165.07