Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $691.83	Facility		$676.08	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,148.15	Professional		$575.44	$676.08	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,412.54	Facility		$1,318.26	$1,318.26	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,238.72	Professional		$1,096.48	$1,096.48	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $912.01	Professional		$724.44	$724.44	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $812.83 / $812.83	Facility		$537.03	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $812.83	Professional		$691.83	$691.83	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,862.09	Professional		$933.25	$1,318.26	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,288.25	Professional		$645.65	$870.96	$1,288.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $1,819.70	Facility		$588.84	$977.24	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,071.52	Professional		$707.95	$870.96	$1,071.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $2,818.38	Facility		$707.95	$1,071.52	$2,818.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $2,818.38	Professional		$707.95	$1,071.52	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $977.24 / $2,089.30	Facility		$489.78	$977.24	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $1,000.00	Professional		$602.56	$645.65	$1,000.00