Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.08 / $841.08 / $850.03	Facility		$841.08	$841.08	$850.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.00 / $841.08 / $1,038.25	Professional		$782.00	$841.08	$1,038.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,594.75 / $1,594.75 / $1,693.62	Facility		$1,594.75	$1,594.75	$1,693.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.82 / $957.82 / $1,252.69	Professional		$957.82	$957.82	$1,252.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $855.00 / $1,090.17	Professional		$855.00	$855.00	$1,090.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $1,020.64	Facility		$1,020.64	$1,020.64	$1,020.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $745.07 / $1,020.64	Professional		$745.07	$745.07	$1,020.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.33 / $1,435.28 / $1,913.70	Professional		$1,116.33	$1,435.28	$1,913.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $513.63 / $1,011.54 / $1,815.35	Facility		$513.63	$1,011.54	$1,815.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $2,094.71 / $2,656.34	Professional		$897.00	$2,094.71	$2,656.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $873.72 / $1,203.55 / $1,903.31	Facility		$873.72	$1,203.55	$1,903.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $873.72 / $1,203.55 / $1,903.31	Professional		$873.72	$1,203.55	$1,903.31
United Facility/Professional Professional Modifier Low / Median / High Price $719.08 / $795.61 / $1,226.00	Professional		$719.08	$795.61	$1,226.00