Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.33 / $1,777.17 / $2,818.07	Facility		$719.33	$1,777.17	$2,818.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $719.33 / $1,287.22	Professional		$634.70	$719.33	$1,287.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $846.27 / $4,159.42	Facility		$846.27	$846.27	$4,159.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $338.51 / $565.10	Professional		$338.51	$338.51	$565.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $930.90 / $1,815.25 / $4,662.93	Professional		$930.90	$1,815.25	$4,662.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.08 / $1,441.52 / $3,835.82	Facility		$550.08	$1,441.52	$3,835.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.18 / $513.62 / $1,507.03	Professional		$417.18	$513.62	$1,507.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,015.52 / $1,252.48	Professional		$846.27	$1,015.52	$1,252.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $719.33 / $1,100.15 / $2,526.91	Facility		$719.33	$1,100.15	$2,526.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $846.00 / $1,185.00 / $2,031.05	Professional		$846.00	$1,185.00	$2,031.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $693.94 / $1,017.22 / $9,929.00	Facility		$693.94	$1,017.22	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $693.94 / $1,017.22 / $9,929.00	Professional		$693.94	$1,017.22	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $423.14 / $973.21	Professional		$355.43	$423.14	$973.21