Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,621.81 / $2,089.30	Facility		$630.96	$1,621.81	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $977.24	Professional		$562.34	$660.69	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,466.84 / $5,248.07	Facility		$3,388.44	$4,466.84	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $588.84	Professional		$338.84	$338.84	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $758.58	Professional		$645.65	$691.83	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,089.30 / $4,365.16	Facility		$870.96	$2,089.30	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,230.27	Professional		$1,023.29	$1,023.29	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,174.90	Professional		$851.14	$933.25	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $1,318.26	Facility		$630.96	$812.83	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,778.28	Professional		$549.54	$549.54	$1,778.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $1,737.80	Facility		$588.84	$954.99	$1,737.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,737.80	Professional		$588.84	$977.24	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $851.14 / $1,023.29	Facility		$512.86	$851.14	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $977.24	Professional		$354.81	$426.58	$977.24