Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.67 / $3,553.17 / $7,275.00	Facility		$226.67	$3,553.17	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $803.46 / $1,597.81	Professional		$116.66	$803.46	$1,597.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $795.62 / $1,809.35	Professional		$116.90	$795.62	$1,809.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $128.69 / $258.69	Professional		$127.38	$128.69	$258.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $526.00 / $925.00	Facility		$202.58	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $348.00 / $2,046.32	Professional		$133.04	$348.00	$2,046.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,100.52 / $1,375.65 / $1,719.56	Professional		$1,100.52	$1,375.65	$1,719.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.34 / $1,144.01 / $2,001.21	Facility		$133.34	$1,144.01	$2,001.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,121.55 / $1,339.00 / $2,413.00	Professional		$1,121.55	$1,339.00	$2,413.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $163.43 / $288.54	Facility		$125.49	$163.43	$288.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,107.89 / $1,408.14 / $2,751.62	Professional		$1,107.89	$1,408.14	$2,751.62
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $1,560.00 / $3,499.00	Facility		$250.00	$1,560.00	$3,499.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.00 / $1,413.80 / $2,157.55	Professional		$943.00	$1,413.80	$2,157.55