Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.08 / $1,494.01 / $1,948.43	Facility		$669.08	$1,494.01	$1,948.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.36 / $669.08 / $669.08	Professional		$590.36	$669.08	$669.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,989.60 / $3,833.42 / $4,840.97	Facility		$2,989.60	$3,833.42	$4,840.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $806.76	Professional		$540.00	$540.00	$806.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $629.72 / $724.18 / $1,412.15	Professional		$629.72	$724.18	$1,412.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.65 / $1,735.16 / $4,032.59	Facility		$511.65	$1,735.16	$4,032.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.74 / $958.74 / $1,148.68	Professional		$958.74	$958.74	$1,148.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $944.58 / $1,164.98	Professional		$787.15	$944.58	$1,164.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $625.78 / $787.15 / $1,338.16	Facility		$625.78	$787.15	$1,338.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,078.00 / $1,377.51 / $1,889.16	Professional		$1,078.00	$1,377.51	$1,889.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $551.01 / $873.58 / $1,461.42	Facility		$551.01	$873.58	$1,461.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $551.01 / $894.99 / $1,461.42	Professional		$551.01	$894.99	$1,461.42
United Facility/Professional Professional Modifier Low / Median / High Price $330.60 / $409.32 / $905.22	Professional		$330.60	$409.32	$905.22