Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.75 / $1,310.17 / $1,708.67	Facility		$586.75	$1,310.17	$1,708.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.72 / $586.75 / $586.75	Professional		$517.72	$586.75	$586.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,621.72 / $3,361.71 / $4,245.28	Facility		$2,621.72	$3,361.71	$4,245.28
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 $552.23 / $621.26 / $1,211.46	Professional		$552.23	$621.26	$1,211.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.69 / $1,284.75 / $3,536.03	Facility		$448.69	$1,284.75	$3,536.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.98 / $840.98 / $1,007.58	Professional		$840.98	$840.98	$1,007.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.29 / $828.35 / $1,021.63	Professional		$690.29	$828.35	$1,021.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $548.78 / $690.29 / $1,173.50	Facility		$548.78	$690.29	$1,173.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $946.00 / $1,366.77 / $1,656.70	Professional		$946.00	$1,366.77	$1,656.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $490.11 / $766.08 / $1,277.04	Facility		$490.11	$766.08	$1,277.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $483.20 / $766.08 / $1,304.65	Professional		$483.20	$766.08	$1,304.65
United Facility/Professional Professional Modifier Low / Median / High Price $289.92 / $345.15 / $793.83	Professional		$289.92	$345.15	$793.83