Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $1,366.56 / $1,782.21	Facility		$612.00	$1,366.56	$1,782.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $612.00 / $612.00	Professional		$540.00	$612.00	$612.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,734.56 / $3,506.40 / $4,428.00	Facility		$2,734.56	$3,506.40	$4,428.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $382.12	Professional		$228.90	$228.90	$382.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $698.40 / $1,361.88	Professional		$648.00	$698.40	$1,361.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $1,587.19 / $3,688.70	Facility		$468.00	$1,587.19	$3,688.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.87 / $876.87 / $1,050.58	Professional		$876.87	$876.87	$1,050.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $864.00 / $1,065.59	Professional		$720.00	$864.00	$1,065.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $572.40 / $720.00 / $1,224.00	Facility		$572.40	$720.00	$1,224.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $986.00 / $1,260.00 / $1,728.00	Professional		$986.00	$1,260.00	$1,728.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $799.06 / $1,336.75	Facility		$504.00	$799.06	$1,336.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $818.64 / $1,336.75	Professional		$504.00	$818.64	$1,336.75
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $360.00 / $828.00	Professional		$302.39	$360.00	$828.00