Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.31 / $822.31 / $831.06	Facility		$822.31	$822.31	$831.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.38 / $822.31 / $857.10	Professional		$759.38	$822.31	$857.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,559.17 / $1,559.17 / $1,655.84	Facility		$1,559.17	$1,559.17	$1,655.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.83 / $871.83 / $1,110.32	Professional		$871.83	$871.83	$1,110.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $875.01 / $875.01 / $1,065.83	Professional		$875.01	$875.01	$1,065.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $891.71	Facility		$891.71	$891.71	$891.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $650.95 / $891.71	Professional		$650.95	$650.95	$891.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.42 / $1,403.25 / $1,871.00	Professional		$1,091.42	$1,403.25	$1,871.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $482.60 / $958.91 / $1,742.10	Facility		$482.60	$958.91	$1,742.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,207.01 / $2,047.98 / $2,597.07	Professional		$1,207.01	$2,047.98	$2,597.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $878.79 / $1,182.07 / $1,860.83	Facility		$878.79	$1,182.07	$1,860.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $878.79 / $1,182.07 / $1,860.83	Professional		$878.79	$1,182.07	$1,860.83
United Facility/Professional Professional Modifier Low / Median / High Price $711.94 / $777.85 / $1,171.72	Professional		$711.94	$777.85	$1,171.72