Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.87 / $2,038.63 / $7,275.00	Facility		$404.87	$2,038.63	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.83 / $496.85 / $1,075.83	Professional		$243.83	$496.85	$1,075.83
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 $226.65 / $507.49 / $1,172.30	Professional		$226.65	$507.49	$1,172.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.71 / $245.71 / $479.13	Professional		$245.71	$245.71	$479.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $610.00 / $1,035.00	Facility		$395.91	$610.00	$1,035.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.73 / $652.52 / $1,511.29	Professional		$247.73	$652.52	$1,511.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.00 / $904.08 / $1,120.64	Professional		$717.00	$904.08	$1,120.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $268.23 / $768.47 / $1,379.09	Facility		$268.23	$768.47	$1,379.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $540.86 / $961.81 / $1,772.00	Professional		$540.86	$961.81	$1,772.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $246.40 / $324.02 / $566.22	Facility		$246.40	$324.02	$566.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $788.60 / $1,062.75 / $1,902.23	Professional		$788.60	$1,062.75	$1,902.23
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 $381.09 / $904.59 / $1,443.01	Professional		$381.09	$904.59	$1,443.01