Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $1,584.00 / $4,927.20	Facility		$612.00	$1,584.00	$4,927.20
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 $720.00 / $720.00 / $3,538.80	Facility		$720.00	$720.00	$3,538.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $377.30	Professional		$228.90	$228.90	$377.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $576.00 / $1,123.20	Professional		$576.00	$576.00	$1,123.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $1,345.37 / $3,688.70	Facility		$468.00	$1,345.37	$3,688.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.87 / $876.87 / $1,050.58	Professional		$876.87	$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 $572.40 / $720.00 / $1,224.00	Facility		$572.40	$720.00	$1,224.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $850.00 / $1,425.60 / $1,728.00	Professional		$850.00	$1,425.60	$1,728.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $373.68 / $743.76 / $1,497.38	Facility		$373.68	$743.76	$1,497.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $373.68 / $828.00 / $1,581.84	Professional		$373.68	$828.00	$1,581.84
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $360.00 / $828.00	Professional		$302.39	$360.00	$828.00