Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.70 / $1,261.79 / $2,094.76	Facility		$634.70	$1,261.79	$2,094.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $693.94 / $719.33	Professional		$634.70	$693.94	$719.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.13 / $4,121.33 / $5,204.56	Facility		$3,214.13	$4,121.33	$5,204.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $338.51 / $550.07	Professional		$338.51	$338.51	$550.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $677.02 / $778.57 / $1,518.21	Professional		$677.02	$778.57	$1,518.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.08 / $1,865.08 / $4,334.53	Facility		$550.08	$1,865.08	$4,334.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.53 / $1,030.53 / $1,234.70	Professional		$1,030.53	$1,030.53	$1,234.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,015.52 / $1,252.48	Professional		$846.27	$1,015.52	$1,252.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $672.78 / $846.27 / $1,438.66	Facility		$672.78	$846.27	$1,438.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,159.00 / $1,480.97 / $2,031.05	Professional		$1,159.00	$1,480.97	$2,031.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $592.39 / $939.19 / $1,571.18	Facility		$592.39	$939.19	$1,571.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $962.21 / $1,571.18	Professional		$592.39	$962.21	$1,571.18
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $440.06 / $1,152.02	Professional		$355.43	$440.06	$1,152.02