Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.92 / $1,408.83 / $2,657.33	Facility		$630.92	$1,408.83	$2,657.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.70 / $630.92 / $630.92	Professional		$556.70	$630.92	$630.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,819.14 / $3,614.85 / $4,564.96	Facility		$2,819.14	$3,614.85	$4,564.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $699.20 / $1,065.16	Professional		$699.20	$699.20	$1,065.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $668.04 / $1,302.68	Professional		$593.82	$668.04	$1,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.48 / $1,636.27 / $3,802.75	Facility		$482.48	$1,636.27	$3,802.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.45 / $904.45 / $1,083.64	Professional		$904.45	$904.45	$1,083.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $890.72 / $1,098.56	Professional		$742.27	$890.72	$1,098.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $590.10 / $742.27 / $1,154.59	Facility		$590.10	$742.27	$1,154.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $1,469.69 / $1,781.45	Professional		$876.00	$1,469.69	$1,781.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $668.04 / $1,190.59	Facility		$63.50	$668.04	$1,190.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $742.27 / $1,190.59	Professional		$63.50	$742.27	$1,190.59
United Facility/Professional Facility Modifier Low / Median / High Price $668.04 / $742.27 / $1,113.41	Facility		$668.04	$742.27	$1,113.41
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $371.14 / $853.61	Professional		$311.75	$371.14	$853.61