Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.58 / $3,633.00 / $8,920.00	Facility		$277.58	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.32 / $431.77 / $3,371.02	Professional		$238.32	$431.77	$3,371.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.51 / $585.54 / $3,355.31	Professional		$238.51	$585.54	$3,355.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $262.74 / $266.64 / $533.28	Professional		$262.74	$266.64	$533.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.07 / $610.00 / $1,035.00	Facility		$406.07	$610.00	$1,035.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $562.97 / $4,688.42	Professional		$276.33	$562.97	$4,688.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,913.72 / $2,551.63 / $3,189.54	Professional		$1,913.72	$2,551.63	$3,189.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $274.95 / $676.69 / $4,486.08	Facility		$274.95	$676.69	$4,486.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $558.19 / $3,980.00 / $7,885.00	Professional		$558.19	$3,980.00	$7,885.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $269.45 / $348.79 / $581.55	Facility		$269.45	$348.79	$581.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $561.46 / $2,052.00 / $5,950.45	Professional		$561.46	$2,052.00	$5,950.45
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.26 / $2,632.04 / $5,758.75	Professional		$482.26	$2,632.04	$5,758.75