Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.19 / $1,150.00 / $2,337.87	Facility		$645.19	$1,150.00	$2,337.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $607.24 / $645.19	Professional		$455.43	$607.24	$645.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $3,696.57	Facility		$759.05	$759.05	$3,696.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.62 / $303.62 / $485.21	Professional		$303.62	$303.62	$485.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $607.24 / $683.15 / $1,332.14	Professional		$607.24	$683.15	$1,332.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $1,878.71 / $3,888.32	Facility		$493.38	$1,878.71	$3,888.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.06 / $462.66 / $1,252.89	Professional		$372.06	$462.66	$1,252.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $910.86 / $1,123.39	Professional		$759.05	$910.86	$1,123.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $569.29 / $1,106.59	Facility		$455.43	$569.29	$1,106.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $759.00 / $987.00 / $1,792.34	Professional		$759.00	$987.00	$1,792.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $569.65 / $882.56 / $3,218.07	Facility		$569.65	$882.56	$3,218.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $882.56 / $3,218.07	Professional		$569.29	$882.56	$3,218.07
United Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $759.05 / $962.80	Facility		$455.43	$759.05	$962.80
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $401.17 / $802.33	Professional		$318.80	$401.17	$802.33