Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.48 / $1,329.66 / $1,734.10	Facility		$595.48	$1,329.66	$1,734.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.41 / $595.48 / $595.48	Professional		$525.41	$595.48	$595.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,660.73 / $3,411.73 / $4,308.43	Facility		$2,660.73	$3,411.73	$4,308.43
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 $560.45 / $630.50 / $1,229.47	Professional		$560.45	$630.50	$1,229.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.23 / $853.23 / $1,022.27	Professional		$853.23	$853.23	$1,022.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.56 / $840.67 / $1,036.83	Professional		$700.56	$840.67	$1,036.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $556.95 / $700.56 / $1,190.96	Facility		$556.95	$700.56	$1,190.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,387.11 / $1,681.34	Professional		$960.00	$1,387.11	$1,681.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $574.46 / $805.64 / $1,296.04	Facility		$574.46	$805.64	$1,296.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $499.50 / $796.54 / $1,324.06	Professional		$499.50	$796.54	$1,324.06
United Facility/Professional Facility Modifier Low / Median / High Price $294.24 / $294.24 / $294.24	Facility		$294.24	$294.24	$294.24
United Facility/Professional Professional Modifier Low / Median / High Price $294.24 / $350.28 / $910.73	Professional		$294.24	$350.28	$910.73