Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,754.23 / $5,370.32	Facility		$954.99	$2,754.23	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $1,479.11	Professional		$741.31	$1,318.26	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,888.44 / $6,918.31	Facility		$4,466.84	$5,888.44	$6,918.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $588.84	Professional		$338.84	$338.84	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,584.89	Professional		$1,348.96	$1,412.54	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $8,912.51	Facility		$1,778.28	$3,388.44	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Professional		$2,137.96	$2,137.96	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $2,454.71	Professional		$1,737.80	$1,905.46	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,398.83	Facility		$1,000.00	$1,584.89	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,630.78	Professional		$1,122.02	$1,122.02	$3,630.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,737.80 / $3,548.13	Facility		$912.01	$1,737.80	$3,548.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $3,630.78	Professional		$912.01	$1,737.80	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,737.80 / $2,089.30	Facility		$676.08	$1,737.80	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $1,288.25	Professional		$467.74	$562.34	$1,288.25