Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.29 / $1,337.10 / $16,733.00	Facility		$512.29	$1,337.10	$16,733.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.03 / $512.29 / $512.29	Professional		$452.03	$512.29	$512.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,289.05 / $2,935.15 / $3,706.61	Facility		$2,289.05	$2,935.15	$3,706.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $120.54 / $204.55	Professional		$120.54	$120.54	$204.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $482.16 / $554.48 / $1,081.24	Professional		$482.16	$554.48	$1,081.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.76 / $1,328.80 / $3,088.19	Facility		$391.76	$1,328.80	$3,088.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.16 / $734.16 / $879.60	Professional		$734.16	$734.16	$879.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $723.24 / $892.00	Professional		$602.70	$723.24	$892.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $479.15 / $602.70 / $1,024.59	Facility		$479.15	$602.70	$1,024.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $1,054.73 / $1,446.48	Professional		$826.00	$1,054.73	$1,446.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $421.89 / $668.88 / $1,118.97	Facility		$421.89	$668.88	$1,118.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $421.89 / $685.27 / $1,118.97	Professional		$421.89	$685.27	$1,118.97
United Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $361.62 / $693.11	Professional		$253.13	$361.62	$693.11