Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $2,201.67 / $4,152.80	Facility		$870.00	$2,201.67	$4,152.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $951.20 / $986.00	Professional		$870.00	$951.20	$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 $464.00 / $464.00 / $754.00	Professional		$464.00	$464.00	$754.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $928.00 / $928.00 / $1,809.60	Professional		$928.00	$928.00	$1,809.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $2,167.54 / $5,943.20	Facility		$754.00	$2,167.54	$5,943.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.17 / $716.79 / $1,692.59	Professional		$574.17	$716.79	$1,692.59
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 $922.20 / $1,160.00 / $1,972.00	Facility		$922.20	$1,160.00	$1,972.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,142.00 / $1,589.00 / $2,784.00	Professional		$1,142.00	$1,589.00	$2,784.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $1,299.20 / $4,950.18	Facility		$812.00	$1,299.20	$4,950.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $1,299.20 / $4,950.18	Professional		$812.00	$1,299.20	$4,950.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,392.00 / $1,392.00	Facility		$1,392.00	$1,392.00	$1,392.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $603.20 / $1,334.00	Professional		$487.20	$603.20	$1,334.00