Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.75 / $3,633.00 / $8,920.00	Facility		$803.75	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.04 / $767.29 / $946.07	Professional		$658.04	$767.29	$946.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.01 / $810.76 / $1,340.42	Professional		$634.01	$810.76	$1,340.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $770.53 / $794.00 / $1,194.32	Professional		$770.53	$794.00	$1,194.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $853.55	Facility		$640.00	$640.00	$853.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.02 / $980.43 / $1,568.31	Professional		$715.02	$980.43	$1,568.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.93 / $892.07 / $1,044.78	Professional		$705.93	$892.07	$1,044.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $767.29 / $985.71 / $1,366.38	Facility		$767.29	$985.71	$1,366.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $953.00 / $1,296.05 / $1,732.75	Professional		$953.00	$1,296.05	$1,732.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $730.69 / $957.20 / $1,666.80	Facility		$730.69	$957.20	$1,666.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $730.69 / $957.20 / $1,666.80	Professional		$730.69	$957.20	$1,666.80
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.49 / $882.73 / $1,363.94	Professional		$588.49	$882.73	$1,363.94