Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,442.48 / $2,720.80	Facility		$570.00	$1,442.48	$2,720.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $623.20 / $646.00	Professional		$570.00	$623.20	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $3,735.40	Facility		$760.00	$760.00	$3,735.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $321.48	Professional		$200.00	$200.00	$321.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $684.00 / $1,333.80	Professional		$608.00	$684.00	$1,333.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,675.25 / $3,893.34	Facility		$494.00	$1,675.25	$3,893.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.71 / $840.71 / $1,007.27	Professional		$840.71	$840.71	$1,007.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $912.00 / $1,124.80	Professional		$760.00	$912.00	$1,124.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $632.70 / $874.00 / $1,365.72	Facility		$632.70	$874.00	$1,365.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,504.80 / $1,824.00	Professional		$897.00	$1,504.80	$1,824.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $532.00 / $760.00 / $1,219.04	Facility		$532.00	$760.00	$1,219.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $760.00 / $1,219.04	Professional		$532.00	$760.00	$1,219.04
United Facility/Professional Facility Modifier Low / Median / High Price $319.20 / $319.20 / $319.20	Facility		$319.20	$319.20	$319.20
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $380.00 / $874.00	Professional		$319.20	$380.00	$874.00