Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,445.44 / $1,862.09	Facility		$575.44	$1,445.44	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $870.96	Professional		$501.19	$588.84	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,981.07 / $4,786.30	Facility		$3,019.95	$3,981.07	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $831.76	Professional		$501.19	$501.19	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $691.83	Professional		$588.84	$616.60	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,862.09 / $3,890.45	Facility		$776.25	$1,862.09	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,096.48	Professional		$933.25	$933.25	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,071.52	Professional		$758.58	$831.76	$1,071.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $724.44 / $1,174.90	Facility		$575.44	$724.44	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $1,584.89	Facility		$562.34	$870.96	$1,584.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,584.89	Professional		$562.34	$870.96	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $912.01	Facility		$457.09	$758.58	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $870.96	Professional		$316.23	$380.19	$870.96