Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.87 / $970.87 / $981.20	Facility		$970.87	$970.87	$981.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.54 / $970.87 / $1,011.93	Professional		$896.54	$970.87	$1,011.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,840.86 / $1,840.86 / $1,954.99	Facility		$1,840.86	$1,840.86	$1,954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,029.32 / $1,029.32 / $1,310.89	Professional		$1,029.32	$1,029.32	$1,310.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,026.31 / $1,026.31 / $1,258.40	Professional		$1,026.31	$1,026.31	$1,258.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $1,329.56	Facility		$1,329.56	$1,329.56	$1,329.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $970.58	Professional		$970.58	$970.58	$970.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.59 / $1,656.77 / $2,209.03	Professional		$1,288.59	$1,656.77	$2,209.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $569.78 / $1,132.15 / $2,047.92	Facility		$569.78	$1,132.15	$2,047.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,425.04 / $2,417.96 / $3,066.26	Professional		$1,425.04	$2,417.96	$3,066.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,037.55 / $1,395.62 / $2,197.01	Facility		$1,037.55	$1,395.62	$2,197.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,037.55 / $1,395.62 / $2,197.01	Professional		$1,037.55	$1,395.62	$2,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $840.55 / $918.38 / $1,383.40	Professional		$840.55	$918.38	$1,383.40