Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.00 / $2,573.46 / $3,364.00	Facility		$986.00	$2,573.46	$3,364.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.53 / $838.54 / $986.00	Professional		$343.53	$838.54	$986.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $5,701.40	Facility		$1,160.00	$1,160.00	$5,701.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $818.10	Professional		$540.00	$540.00	$818.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $928.00 / $1,048.64 / $1,809.60	Professional		$928.00	$1,048.64	$1,809.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $1,975.91 / $5,259.41	Facility		$754.00	$1,975.91	$5,259.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.92 / $704.10 / $1,914.58	Professional		$571.92	$704.10	$1,914.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,392.00 / $1,716.80	Professional		$1,160.00	$1,392.00	$1,716.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $986.00 / $1,554.40 / $3,664.00	Facility		$986.00	$1,554.40	$3,664.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,624.00 / $2,784.00	Professional		$1,160.00	$1,624.00	$2,784.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $968.02 / $1,394.32 / $9,929.00	Facility		$968.02	$1,394.32	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,009.20 / $1,394.32 / $9,929.00	Professional		$1,009.20	$1,394.32	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $661.20 / $1,579.10	Professional		$487.20	$661.20	$1,579.10