Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.86 / $967.86 / $2,902.82	Facility		$967.86	$967.86	$2,902.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.86 / $2,383.85 / $2,902.82	Professional		$967.86	$2,383.85	$2,902.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,508.21 / $2,802.49 / $4,575.07	Professional		$1,508.21	$2,802.49	$4,575.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $606.74 / $3,666.80 / $4,125.14	Professional		$606.74	$3,666.80	$4,125.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,154.79 / $2,497.27	Facility		$750.00	$1,154.79	$2,497.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.54 / $615.27 / $1,049.99	Professional		$351.54	$615.27	$1,049.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.33 / $509.19 / $624.01	Professional		$424.33	$509.19	$624.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $541.36 / $1,200.76 / $4,041.23	Facility		$541.36	$1,200.76	$4,041.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $94.00 / $4,423.77	Professional		$72.00	$94.00	$4,423.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.56 / $515.25 / $815.20	Facility		$65.56	$515.25	$815.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $596.77 / $906.00	Professional		$75.29	$596.77	$906.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.81 / $6,578.17 / $6,578.17	Facility		$1,749.81	$6,578.17	$6,578.17
United Facility/Professional Professional Modifier Low / Median / High Price $537.90 / $1,681.78 / $3,142.96	Professional		$537.90	$1,681.78	$3,142.96