Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.70 / $1,606.22 / $3,029.65	Facility		$634.70	$1,606.22	$3,029.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $693.94 / $719.33	Professional		$592.39	$693.94	$719.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $846.27 / $4,159.42	Facility		$846.27	$846.27	$4,159.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $338.51 / $550.07	Professional		$338.51	$338.51	$550.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $930.90 / $1,815.25	Professional		$846.27	$930.90	$1,815.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.08 / $1,581.33 / $4,334.53	Facility		$550.08	$1,581.33	$4,334.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.86 / $513.62 / $1,376.68	Professional		$398.86	$513.62	$1,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,015.52 / $1,252.48	Professional		$846.27	$1,015.52	$1,252.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $704.52 / $973.21 / $1,438.66	Facility		$704.52	$973.21	$1,438.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $833.00 / $1,159.00 / $2,031.05	Professional		$833.00	$1,159.00	$2,031.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $693.94 / $947.82 / $4,071.00	Facility		$693.94	$947.82	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $693.94 / $947.82 / $4,071.00	Professional		$693.94	$947.82	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $1,152.02	Professional		$355.43	$507.76	$1,152.02