Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.13 / $1,420.44 / $1,852.47	Facility		$636.13	$1,420.44	$1,852.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.29 / $636.13 / $636.13	Professional		$561.29	$636.13	$636.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,842.39 / $3,644.66 / $4,602.60	Facility		$2,842.39	$3,644.66	$4,602.60
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 $598.71 / $673.55 / $1,313.42	Professional		$598.71	$673.55	$1,313.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.45 / $1,392.61 / $3,834.65	Facility		$486.45	$1,392.61	$3,834.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.90 / $911.90 / $1,092.55	Professional		$911.90	$911.90	$1,092.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $898.07 / $1,107.61	Professional		$748.39	$898.07	$1,107.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $594.97 / $748.39 / $1,272.26	Facility		$594.97	$748.39	$1,272.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,025.00 / $1,481.81 / $1,796.14	Professional		$1,025.00	$1,481.81	$1,796.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $531.36 / $830.56 / $1,384.52	Facility		$531.36	$830.56	$1,384.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $523.87 / $830.56 / $1,414.46	Professional		$523.87	$830.56	$1,414.46
United Facility/Professional Professional Modifier Low / Median / High Price $314.32 / $389.16 / $860.65	Professional		$314.32	$389.16	$860.65