Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.19 / $1,460.66 / $2,755.10	Facility		$577.19	$1,460.66	$2,755.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.19 / $631.05 / $654.14	Professional		$577.19	$631.05	$654.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.58 / $769.58 / $3,782.49	Facility		$769.58	$769.58	$3,782.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $307.83 / $494.80	Professional		$307.83	$307.83	$494.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $615.66 / $692.62 / $1,350.61	Professional		$615.66	$692.62	$1,350.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.23 / $1,310.89 / $3,488.46	Facility		$500.23	$1,310.89	$3,488.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.33 / $467.13 / $1,270.23	Professional		$379.33	$467.13	$1,270.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $923.50 / $1,138.98	Professional		$769.58	$923.50	$1,138.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $640.67 / $885.02 / $1,323.68	Facility		$640.67	$885.02	$1,323.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $1,077.00 / $1,846.99	Professional		$769.58	$1,077.00	$1,846.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $631.05 / $925.04 / $9,929.00	Facility		$631.05	$925.04	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $631.05 / $925.04 / $9,929.00	Professional		$631.05	$925.04	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $323.22 / $323.22 / $323.22	Facility		$323.22	$323.22	$323.22
United Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $400.18 / $885.02	Professional		$323.22	$400.18	$885.02