Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $2,248.00 / $3,673.00	Facility		$525.00	$2,248.00	$3,673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $425.00 / $605.20	Professional		$370.50	$425.00	$605.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,170.57 / $1,432.20 / $1,746.02	Facility		$1,170.57	$1,432.20	$1,746.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $450.17 / $692.52	Professional		$346.94	$450.17	$692.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $548.44 / $566.79 / $1,105.26	Professional		$548.44	$566.79	$1,105.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,349.21 / $1,784.02	Facility		$800.00	$1,349.21	$1,784.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.66 / $709.97 / $1,184.94	Professional		$347.66	$709.97	$1,184.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.68 / $430.78 / $531.29	Professional		$357.68	$430.78	$531.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $420.80 / $626.00 / $1,239.54	Facility		$420.80	$626.00	$1,239.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $484.35 / $965.00	Professional		$185.00	$484.35	$965.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $166.77 / $400.95 / $771.06	Facility		$166.77	$400.95	$771.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $524.00 / $867.27	Professional		$177.15	$524.00	$867.27
United Facility/Professional Facility Modifier Low / Median / High Price $278.45 / $1,110.33 / $1,110.33	Facility		$278.45	$1,110.33	$1,110.33
United Facility/Professional Professional Modifier Low / Median / High Price $358.42 / $591.99 / $1,049.66	Professional		$358.42	$591.99	$1,049.66