Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,513.56 / $1,949.84	Facility		$602.56	$1,513.56	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $912.01	Professional		$524.81	$616.60	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $5,011.87	Facility		$3,162.28	$4,168.69	$5,011.87
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 $616.60 / $645.65 / $724.44	Professional		$616.60	$645.65	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,949.84 / $4,073.80	Facility		$812.83	$1,949.84	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,148.15	Professional		$977.24	$977.24	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,122.02	Professional		$794.33	$870.96	$1,122.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $1,230.27	Facility		$602.56	$758.58	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $1,659.59	Facility		$588.84	$912.01	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,659.59	Professional		$588.84	$912.01	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $794.33	Facility		$331.13	$478.63	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $912.01	Professional		$331.13	$398.11	$912.01