Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $2,010.00 / $3,673.00	Facility		$525.00	$2,010.00	$3,673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.32 / $425.00 / $600.00	Professional		$337.32	$425.00	$600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,034.53 / $1,265.76 / $1,543.10	Facility		$1,034.53	$1,265.76	$1,543.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.48 / $415.01 / $680.82	Professional		$317.48	$415.01	$680.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $516.76 / $568.78 / $1,940.92	Professional		$516.76	$568.78	$1,940.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.44 / $1,455.41 / $1,940.54	Facility		$560.44	$1,455.41	$1,940.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.18 / $588.69 / $1,007.51	Professional		$324.18	$588.69	$1,007.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.27 / $381.94 / $468.06	Professional		$318.27	$381.94	$468.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $412.50 / $605.53 / $979.54	Facility		$412.50	$605.53	$979.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $502.00 / $899.00	Professional		$113.00	$502.00	$899.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.12 / $422.54 / $811.66	Facility		$104.12	$422.54	$811.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $519.97 / $925.28	Professional		$120.00	$519.97	$925.28
United Facility/Professional Facility Modifier Low / Median / High Price $468.29 / $650.16 / $656.64	Facility		$468.29	$650.16	$656.64
United Facility/Professional Professional Modifier Low / Median / High Price $318.58 / $518.35 / $868.50	Professional		$318.58	$518.35	$868.50