Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.65 / $872.65 / $881.94	Facility		$872.65	$872.65	$881.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.35 / $872.65 / $1,077.23	Professional		$811.35	$872.65	$1,077.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,654.62 / $1,654.62 / $1,757.21	Facility		$1,654.62	$1,654.62	$1,757.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.20 / $1,006.20 / $1,299.77	Professional		$1,006.20	$1,006.20	$1,299.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $887.00 / $887.00 / $1,131.08	Professional		$887.00	$887.00	$1,131.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $1,427.14	Facility		$1,427.14	$1,427.14	$1,427.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,427.14	Professional		$1,041.81	$1,041.81	$1,427.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,158.23 / $1,489.16 / $1,985.54	Professional		$1,158.23	$1,489.16	$1,985.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $532.91 / $1,049.51 / $1,934.75	Facility		$532.91	$1,049.51	$1,934.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $2,173.35 / $2,756.06	Professional		$930.00	$2,173.35	$2,756.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $906.52 / $1,248.73 / $1,974.76	Facility		$906.52	$1,248.73	$1,974.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $906.52 / $1,248.73 / $1,974.76	Professional		$906.52	$1,248.73	$1,974.76
United Facility/Professional Professional Modifier Low / Median / High Price $768.89 / $825.47 / $1,272.03	Professional		$768.89	$825.47	$1,272.03