Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $2,400.00 / $3,673.00	Facility		$525.00	$2,400.00	$3,673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.98 / $439.25 / $623.23	Professional		$349.98	$439.25	$623.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.95 / $1,581.94 / $1,928.57	Facility		$1,292.95	$1,581.94	$1,928.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.87 / $484.78 / $826.65	Professional		$366.87	$484.78	$826.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $568.20 / $577.42 / $819.95	Professional		$568.20	$577.42	$819.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.71 / $1,506.49 / $2,021.57	Facility		$436.71	$1,506.49	$2,021.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.60 / $610.41 / $1,100.42	Professional		$383.60	$610.41	$1,100.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.12 / $475.34 / $582.53	Professional		$396.12	$475.34	$582.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $562.69 / $861.10	Facility		$400.00	$562.69	$861.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $410.00 / $790.00	Professional		$191.00	$410.00	$790.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $176.15 / $343.14 / $672.10	Facility		$176.15	$343.14	$672.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $462.39 / $726.48	Professional		$190.34	$462.39	$726.48
United Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $572.27 / $865.37	Professional		$362.33	$572.27	$865.37