Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,138.80 / $2,148.00	Facility		$450.00	$1,138.80	$2,148.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $492.00 / $510.00	Professional		$450.00	$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 / $400.65	Professional		$240.00	$240.00	$400.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $936.00 / $2,062.10	Professional		$480.00	$936.00	$2,062.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $1,121.14 / $2,719.52	Facility		$390.00	$1,121.14	$2,719.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.76 / $364.29 / $990.57	Professional		$294.76	$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 $540.00 / $720.00 / $1,032.00	Facility		$540.00	$720.00	$1,032.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $755.00 / $1,416.58	Professional		$600.00	$755.00	$1,416.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $447.60 / $686.75 / $9,929.00	Facility		$447.60	$686.75	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $447.60 / $686.75 / $9,929.00	Professional		$447.60	$686.75	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $600.00 / $720.84	Facility		$360.00	$600.00	$720.84
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $312.00 / $690.81	Professional		$252.00	$312.00	$690.81