Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.35 / $3,633.00 / $8,920.00	Facility		$803.35	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.72 / $766.97 / $945.60	Professional		$657.72	$766.97	$945.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.70 / $810.37 / $1,339.78	Professional		$633.70	$810.37	$1,339.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $770.17 / $794.00 / $1,193.76	Professional		$770.17	$794.00	$1,193.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $852.80	Facility		$640.00	$640.00	$852.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.33 / $980.02 / $1,567.54	Professional		$714.33	$980.02	$1,567.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.36 / $891.28 / $1,043.93	Professional		$705.36	$891.28	$1,043.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $766.97 / $985.21 / $1,365.70	Facility		$766.97	$985.21	$1,365.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,295.47 / $1,731.17	Professional		$952.00	$1,295.47	$1,731.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $730.33 / $956.73 / $1,665.96	Facility		$730.33	$956.73	$1,665.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $730.33 / $956.73 / $1,665.96	Professional		$730.33	$956.73	$1,665.96
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 $588.20 / $918.00 / $1,401.69	Professional		$588.20	$918.00	$1,401.69