Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.77 / $1,439.37 / $2,714.93	Facility		$568.77	$1,439.37	$2,714.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.77 / $621.86 / $644.61	Professional		$568.77	$621.86	$644.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.36 / $758.36 / $3,727.34	Facility		$758.36	$758.36	$3,727.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.33 / $303.33 / $487.58	Professional		$303.33	$303.33	$487.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.36 / $1,478.80 / $4,057.86	Professional		$758.36	$1,478.80	$4,057.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.93 / $1,291.76 / $3,437.99	Facility		$492.93	$1,291.76	$3,437.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.82 / $460.35 / $1,251.77	Professional		$373.82	$460.35	$1,251.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.36 / $910.03 / $1,122.36	Professional		$758.36	$910.03	$1,122.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $631.33 / $872.11 / $1,304.38	Facility		$631.33	$872.11	$1,304.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.00 / $1,062.00 / $1,820.06	Professional		$758.00	$1,062.00	$1,820.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $621.86 / $911.55 / $9,929.00	Facility		$621.86	$911.55	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $621.86 / $911.55 / $9,929.00	Professional		$621.86	$911.55	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $318.51 / $318.51 / $318.51	Facility		$318.51	$318.51	$318.51
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $394.35 / $872.11	Professional		$318.51	$394.35	$872.11