Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $986.00 / $2,871.33	Facility		$870.00	$986.00	$2,871.33
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 $4,405.68 / $5,649.20 / $7,134.00	Facility		$4,405.68	$5,649.20	$7,134.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $600.98	Professional		$360.00	$360.00	$600.98
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 / $2,557.26 / $5,943.20	Facility		$754.00	$2,557.26	$5,943.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $695.98 / $1,914.58	Professional		$14.28	$695.98	$1,914.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.94 / $1,437.53 / $1,772.95	Professional		$1,197.94	$1,437.53	$1,772.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $1,124.50 / $1,804.38	Facility		$870.00	$1,124.50	$1,804.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,369.00 / $2,784.00	Professional		$1,160.00	$1,369.00	$2,784.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $866.52 / $1,287.36 / $4,950.18	Facility		$866.52	$1,287.36	$4,950.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $866.52 / $1,334.00 / $4,950.18	Professional		$866.52	$1,334.00	$4,950.18
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $661.20 / $1,579.10	Professional		$487.20	$661.20	$1,579.10