Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,479.11 / $3,090.30	Facility		$588.84	$1,479.11	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $954.99	Professional		$549.54	$660.69	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $3,090.30	Facility		$776.25	$776.25	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $549.54	Professional		$309.03	$309.03	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,691.53 / $3,981.07	Professional		$630.96	$2,691.53	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,513.56 / $3,548.13	Facility		$512.86	$1,513.56	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $1,148.15	Professional		$371.54	$478.63	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $1,096.48	Professional		$776.25	$851.14	$1,096.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $1,318.26	Facility		$616.60	$851.14	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,621.81	Professional		$512.86	$512.86	$1,621.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $10,000.00	Facility		$660.69	$1,047.13	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $10,000.00	Professional		$660.69	$1,047.13	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $776.25 / $933.25	Facility		$467.74	$776.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $891.25	Professional		$331.13	$389.05	$891.25