Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.22 / $871.22 / $880.49	Facility		$871.22	$871.22	$880.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.02 / $871.22 / $999.51	Professional		$810.02	$871.22	$999.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.91 / $1,651.91 / $1,754.33	Facility		$1,651.91	$1,651.91	$1,754.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.19 / $1,009.19 / $1,284.36	Professional		$1,009.19	$1,009.19	$1,284.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $886.00 / $925.74 / $1,129.23	Professional		$886.00	$925.74	$1,129.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,324.18	Facility		$1,324.18	$1,324.18	$1,324.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $966.65 / $1,324.18	Professional		$966.65	$966.65	$1,324.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,156.33 / $1,486.72 / $1,982.29	Professional		$1,156.33	$1,486.72	$1,982.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $532.04 / $1,047.78 / $1,880.41	Facility		$532.04	$1,047.78	$1,880.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $2,169.79 / $2,751.54	Professional		$1,021.00	$2,169.79	$2,751.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $905.03 / $1,246.68 / $1,971.52	Facility		$905.03	$1,246.68	$1,971.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $905.03 / $1,246.68 / $1,971.52	Professional		$905.03	$1,246.68	$1,971.52
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $782.91 / $824.12 / $1,269.94	Professional		$782.91	$824.12	$1,269.94