Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,260.00 / $1,998.00	Facility		$510.00	$1,260.00	$1,998.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.98 / $492.00 / $510.00	Professional		$436.98	$492.00	$510.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $2,949.00	Facility		$600.00	$600.00	$2,949.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $390.00	Professional		$240.00	$240.00	$390.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $936.00	Professional		$480.00	$480.00	$936.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $1,121.14 / $3,073.08	Facility		$390.00	$1,121.14	$3,073.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.18 / $364.29 / $990.57	Professional		$283.18	$364.29	$990.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $720.00 / $888.00	Professional		$600.00	$720.00	$888.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $499.50 / $690.00 / $1,020.00	Facility		$499.50	$690.00	$1,020.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $840.00 / $1,440.00	Professional		$600.00	$840.00	$1,440.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $490.74 / $672.00 / $4,071.00	Facility		$490.74	$672.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $490.74 / $672.00 / $4,071.00	Professional		$490.74	$672.00	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $600.00 / $720.00	Facility		$360.00	$600.00	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $300.00 / $690.00	Professional		$252.00	$300.00	$690.00