Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.39 / $1,407.63 / $1,835.76	Facility		$630.39	$1,407.63	$1,835.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.23 / $630.39 / $630.39	Professional		$556.23	$630.39	$630.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,816.75 / $3,611.79 / $4,561.09	Facility		$2,816.75	$3,611.79	$4,561.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $508.02	Professional		$335.33	$335.33	$508.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $593.30 / $667.48 / $1,301.58	Professional		$593.30	$667.48	$1,301.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.58 / $903.58 / $1,082.58	Professional		$903.58	$903.58	$1,082.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.64 / $889.97 / $1,097.63	Professional		$741.64	$889.97	$1,097.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $589.60 / $741.64 / $1,260.78	Facility		$589.60	$741.64	$1,260.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,016.00 / $1,468.45 / $1,779.94	Professional		$1,016.00	$1,468.45	$1,779.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $526.55 / $823.07 / $1,372.03	Facility		$526.55	$823.07	$1,372.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $519.15 / $823.07 / $1,401.70	Professional		$519.15	$823.07	$1,401.70
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $385.65 / $852.89	Professional		$311.49	$385.65	$852.89