Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $1,059.33 / $2,217.60	Facility		$612.00	$1,059.33	$2,217.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $612.00 / $612.00	Professional		$540.00	$612.00	$612.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,734.56 / $3,506.40 / $4,428.00	Facility		$2,734.56	$3,506.40	$4,428.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $380.88	Professional		$228.90	$228.90	$380.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $648.00 / $1,263.59	Professional		$576.00	$648.00	$1,263.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $1,587.19 / $3,688.70	Facility		$468.00	$1,587.19	$3,688.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $876.87 / $1,050.58	Professional		$421.20	$876.87	$1,050.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $864.00 / $1,065.59	Professional		$720.00	$864.00	$1,065.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $599.40 / $828.00 / $1,293.83	Facility		$599.40	$828.00	$1,293.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,247.58 / $1,728.00	Professional		$720.00	$1,247.58	$1,728.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $720.00 / $1,154.88	Facility		$504.00	$720.00	$1,154.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $720.00 / $1,154.88	Professional		$504.00	$720.00	$1,154.88
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $374.40 / $936.00	Professional		$302.39	$374.40	$936.00