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 $304.00 / $304.00 / $477.43	Professional		$304.00	$304.00	$477.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $608.00 / $1,185.59	Professional		$608.00	$608.00	$1,185.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,420.11 / $3,893.34	Facility		$494.00	$1,420.11	$3,893.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.90 / $925.90 / $1,109.33	Professional		$925.90	$925.90	$1,109.33
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 $604.20 / $760.00 / $1,292.00	Facility		$604.20	$760.00	$1,292.00
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 $394.44 / $785.08 / $1,580.57	Facility		$394.44	$785.08	$1,580.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $394.44 / $874.00 / $1,669.72	Professional		$394.44	$874.00	$1,669.72
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $395.20 / $874.00	Professional		$319.20	$395.20	$874.00