Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $1,440.68 / $2,717.40	Facility		$569.29	$1,440.68	$2,717.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $622.41 / $645.19	Professional		$569.29	$622.41	$645.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $3,730.73	Facility		$759.05	$759.05	$3,730.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $106.20 / $177.29	Professional		$106.20	$106.20	$177.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $607.24 / $683.15 / $1,332.14	Professional		$607.24	$683.15	$1,332.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $1,418.34 / $3,888.32	Facility		$493.38	$1,418.34	$3,888.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.04 / $924.59 / $1,107.77	Professional		$444.04	$924.59	$1,107.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $910.86 / $1,123.39	Professional		$759.05	$910.86	$1,123.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $631.91 / $872.91 / $1,364.01	Facility		$631.91	$872.91	$1,364.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $896.00 / $1,502.92 / $1,821.72	Professional		$896.00	$1,502.92	$1,821.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $531.34 / $759.05 / $1,217.52	Facility		$531.34	$759.05	$1,217.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $759.05 / $1,217.52	Professional		$531.34	$759.05	$1,217.52
United Facility/Professional Facility Modifier Low / Median / High Price $910.86 / $910.86 / $910.86	Facility		$910.86	$910.86	$910.86
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $379.53 / $872.91	Professional		$318.80	$379.53	$872.91