Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $749.18 / $749.18	Facility		$713.50	$749.18	$749.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $749.18	Professional		$713.50	$713.50	$749.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $958.08	Professional		$713.50	$713.50	$958.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,825.29	Professional		$1,007.00	$1,007.00	$1,825.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $713.50	Facility		$673.11	$673.11	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.48 / $713.50 / $1,314.88	Professional		$606.48	$713.50	$1,314.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $749.18 / $1,273.60	Facility		$713.50	$749.18	$1,273.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,083.00 / $1,744.00 / $2,378.02	Professional		$1,083.00	$1,744.00	$2,378.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,269.58 / $1,421.93 / $2,360.15	Facility		$1,269.58	$1,421.93	$2,360.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,269.58 / $1,421.93 / $2,360.15	Professional		$1,269.58	$1,421.93	$2,360.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,314.88 / $1,609.18 / $1,609.18	Facility		$1,314.88	$1,609.18	$1,609.18
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $799.12	Professional		$713.50	$713.50	$799.12