Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.69 / $1,108.53 / $1,757.80	Facility		$448.69	$1,108.53	$1,757.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.51 / $432.85 / $448.69	Professional		$369.51	$432.85	$448.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $527.87 / $2,594.48	Facility		$527.87	$527.87	$2,594.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $211.15 / $343.11	Professional		$211.15	$211.15	$343.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $737.97 / $1,531.64	Professional		$422.30	$737.97	$1,531.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.12 / $899.17 / $2,392.94	Facility		$343.12	$899.17	$2,392.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.29 / $320.47 / $871.43	Professional		$260.29	$320.47	$871.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $633.44 / $781.25	Professional		$527.87	$633.44	$781.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $448.69 / $707.35 / $1,316.00	Facility		$448.69	$707.35	$1,316.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $739.00 / $1,266.89	Professional		$527.87	$739.00	$1,266.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $432.85 / $634.50 / $9,929.00	Facility		$432.85	$634.50	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $432.85 / $634.50 / $9,929.00	Professional		$432.85	$634.50	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $274.49 / $607.04	Professional		$221.71	$274.49	$607.04