Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.95 / $856.95 / $866.07	Facility		$856.95	$856.95	$866.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.76 / $856.95 / $873.36	Professional		$796.76	$856.95	$873.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,624.85 / $1,624.85 / $1,725.59	Facility		$1,624.85	$1,624.85	$1,725.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.37 / $888.37 / $1,146.01	Professional		$888.37	$888.37	$1,146.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $905.90 / $905.90 / $1,110.74	Professional		$905.90	$905.90	$1,110.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $908.63	Facility		$908.63	$908.63	$908.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $663.30 / $908.63	Professional		$663.30	$663.30	$908.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,137.40 / $1,462.37 / $1,949.82	Professional		$1,137.40	$1,462.37	$1,949.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $999.32 / $1,815.51	Facility		$468.34	$999.32	$1,815.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,064.06 / $2,134.25 / $2,706.48	Professional		$1,064.06	$2,134.25	$2,706.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $890.21 / $1,226.27 / $1,986.84	Facility		$890.21	$1,226.27	$1,986.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $890.21 / $1,226.27 / $1,939.23	Professional		$890.21	$1,226.27	$1,939.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,938.85 / $1,938.85 / $2,326.62	Facility		$1,938.85	$1,938.85	$2,326.62
United Facility/Professional Professional Modifier Low / Median / High Price $732.65 / $810.62 / $1,162.94	Professional		$732.65	$810.62	$1,162.94