Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.61 / $3,633.00 / $8,294.00	Facility		$404.61	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.05 / $1,375.96 / $3,133.15	Professional		$352.05	$1,375.96	$3,133.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.01 / $924.60 / $2,677.95	Professional		$318.01	$924.60	$2,677.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $375.21 / $376.56 / $778.00	Professional		$375.21	$376.56	$778.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $569.66 / $569.66	Facility		$569.66	$569.66	$569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.11 / $816.26 / $3,405.37	Professional		$353.11	$816.26	$3,405.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,736.91 / $2,084.29 / $2,554.28	Professional		$1,736.91	$2,084.29	$2,554.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $385.27 / $825.60 / $3,425.57	Facility		$385.27	$825.60	$3,425.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,341.00 / $2,832.64 / $4,052.80	Professional		$2,341.00	$2,832.64	$4,052.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $325.69 / $450.10 / $787.01	Facility		$325.69	$450.10	$787.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,192.13 / $2,699.93 / $4,275.07	Professional		$1,192.13	$2,699.93	$4,275.07
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $2,216.44 / $4,106.47	Professional		$486.01	$2,216.44	$4,106.47