Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,412.54 / $1,862.09	Facility		$562.34	$1,412.54	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $707.95	Professional		$501.19	$588.84	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $4,677.35	Facility		$3,019.95	$3,890.45	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $562.34	Professional		$338.84	$338.84	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $676.08	Professional		$575.44	$602.56	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,445.44 / $3,801.89	Facility		$758.58	$1,445.44	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,096.48	Professional		$912.01	$912.01	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,047.13	Professional		$741.31	$831.76	$1,047.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $724.44 / $1,174.90	Facility		$562.34	$724.44	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,584.89	Professional		$489.78	$489.78	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $851.14 / $1,548.82	Facility		$537.03	$851.14	$1,548.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,698.24	Professional		$524.81	$851.14	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $741.31 / $891.25	Facility		$446.68	$741.31	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $851.14	Professional		$316.23	$371.54	$851.14