Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.41 / $817.41 / $826.12	Facility		$817.41	$817.41	$826.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.85 / $817.41 / $852.21	Professional		$754.85	$817.41	$852.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.90 / $1,549.90 / $1,645.99	Facility		$1,549.90	$1,549.90	$1,645.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.08 / $954.08 / $1,192.69	Professional		$954.08	$954.08	$1,192.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $905.55 / $905.55 / $1,059.50	Professional		$905.55	$905.55	$1,059.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $886.63	Facility		$886.63	$886.63	$886.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $647.24 / $886.63	Professional		$647.24	$647.24	$886.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.93 / $1,394.91 / $1,859.88	Professional		$1,084.93	$1,394.91	$1,859.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $953.21 / $1,731.72	Facility		$457.00	$953.21	$1,731.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.29 / $2,035.79 / $2,581.62	Professional		$1,168.29	$2,035.79	$2,581.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $849.14 / $1,191.51 / $1,980.06	Facility		$849.14	$1,191.51	$1,980.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $849.14 / $1,191.51 / $1,980.06	Professional		$849.14	$1,191.51	$1,980.06
United Facility/Professional Professional Modifier Low / Median / High Price $707.89 / $773.22 / $1,109.28	Professional		$707.89	$773.22	$1,109.28