Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.87 / $930.87 / $940.79	Facility		$930.87	$930.87	$940.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.54 / $930.87 / $940.79	Professional		$812.54	$930.87	$940.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,765.03 / $1,765.03 / $1,874.46	Facility		$1,765.03	$1,765.03	$1,874.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.02 / $943.02 / $1,203.58	Professional		$943.02	$943.02	$1,203.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $984.04 / $984.04 / $1,206.56	Professional		$984.04	$984.04	$1,206.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,260.83	Facility		$1,260.83	$1,260.83	$1,260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $920.41 / $1,260.83	Professional		$920.41	$920.41	$1,260.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,235.52 / $1,588.53 / $2,118.04	Professional		$1,235.52	$1,588.53	$2,118.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $497.15 / $1,085.51 / $1,972.12	Facility		$497.15	$1,085.51	$1,972.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,129.52 / $2,318.37 / $2,939.97	Professional		$1,129.52	$2,318.37	$2,939.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $1,332.04 / $2,158.21	Facility		$967.00	$1,332.04	$2,158.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $967.00 / $1,332.04 / $2,106.52	Professional		$967.00	$1,332.04	$2,106.52
United Facility/Professional Professional Modifier Low / Median / High Price $795.75 / $880.55 / $1,263.26	Professional		$795.75	$880.55	$1,263.26