Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.94 / $771.94 / $780.16	Facility		$771.94	$771.94	$780.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.92 / $771.94 / $810.61	Professional		$709.92	$771.94	$810.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,463.66 / $1,463.66 / $1,554.41	Facility		$1,463.66	$1,463.66	$1,554.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.50 / $1,092.50 / $1,343.33	Professional		$1,092.50	$1,092.50	$1,343.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $813.97 / $820.25 / $1,000.55	Professional		$813.97	$820.25	$1,000.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $843.35	Facility		$843.35	$843.35	$843.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $716.85 / $843.35	Professional		$716.85	$716.85	$843.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,024.56 / $1,317.29 / $1,756.39	Professional		$1,024.56	$1,317.29	$1,756.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.43 / $900.18 / $1,635.42	Facility		$456.43	$900.18	$1,635.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,128.41 / $1,922.53 / $2,438.00	Professional		$1,128.41	$1,922.53	$2,438.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $824.97 / $1,109.67 / $1,621.56	Facility		$824.97	$1,109.67	$1,621.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $824.97 / $1,109.67 / $1,621.56	Professional		$824.97	$1,109.67	$1,621.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,799.54 / $1,799.54 / $2,159.44	Facility		$1,799.54	$1,799.54	$2,159.44
United Facility/Professional Professional Modifier Low / Median / High Price $673.33 / $730.21 / $1,099.96	Professional		$673.33	$730.21	$1,099.96