Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,348.96	Professional		$691.83	$933.25	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Facility		$1,819.70	$1,819.70	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,949.84	Professional		$933.25	$933.25	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,230.27	Professional		$977.24	$977.24	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $1,258.93	Facility		$758.58	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Professional		$912.01	$912.01	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,511.89	Professional		$1,258.93	$1,819.70	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,230.27	Professional		$851.14	$1,202.26	$1,230.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,202.26 / $2,137.96	Facility		$676.08	$1,202.26	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,174.90	Professional		$977.24	$1,023.29	$1,174.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $3,890.45	Facility		$977.24	$1,479.11	$3,890.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $3,890.45	Professional		$977.24	$1,479.11	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,148.15 / $2,454.71	Facility		$575.44	$1,148.15	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,348.96	Professional		$776.25	$870.96	$1,348.96