Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.92 / $879.49 / $879.49	Facility		$871.92	$879.49	$879.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.50 / $879.49 / $879.49	Professional		$759.50	$879.49	$879.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,667.60 / $1,667.60 / $1,770.99	Facility		$1,667.60	$1,667.60	$1,770.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.91 / $901.91 / $1,153.25	Professional		$901.91	$901.91	$1,153.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $876.13 / $934.53 / $1,139.96	Professional		$876.13	$934.53	$1,139.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $926.75	Facility		$926.75	$926.75	$926.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $926.75	Professional		$787.74	$787.74	$926.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.32 / $1,500.84 / $2,001.12	Professional		$1,167.32	$1,500.84	$2,001.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $477.68 / $1,025.58 / $1,863.23	Facility		$477.68	$1,025.58	$1,863.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $911.00 / $2,190.41 / $2,777.69	Professional		$911.00	$2,190.41	$2,777.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $463.52 / $1,109.34 / $1,679.68	Facility		$463.52	$1,109.34	$1,679.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $500.16 / $1,153.44 / $1,798.03	Professional		$500.16	$1,153.44	$1,798.03
United Facility/Professional Professional Modifier Low / Median / High Price $751.91 / $831.95 / $1,253.19	Professional		$751.91	$831.95	$1,253.19