Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.29 / $1,493.91 / $2,474.90	Facility		$509.29	$1,493.91	$2,474.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.76 / $858.75 / $1,139.97	Professional		$479.76	$858.75	$1,139.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $3,325.07	Facility		$1,303.95	$1,303.95	$3,325.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $492.93	Professional		$335.33	$335.33	$492.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $679.05 / $746.96 / $1,456.57	Professional		$679.05	$746.96	$1,456.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.31 / $1,268.83 / $3,479.04	Facility		$446.31	$1,268.83	$3,479.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.24 / $441.38 / $1,872.96	Professional		$345.24	$441.38	$1,872.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,564.74 / $1,929.85	Professional		$1,303.95	$1,564.74	$1,929.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $558.89 / $831.33 / $1,248.18	Facility		$558.89	$831.33	$1,248.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $679.00 / $1,146.00 / $1,603.68	Professional		$679.00	$1,146.00	$1,603.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $528.15 / $886.16 / $3,068.04	Facility		$528.15	$886.16	$3,068.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $528.15 / $886.16 / $4,071.00	Professional		$528.15	$886.16	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $452.70 / $679.05 / $1,117.78	Facility		$452.70	$679.05	$1,117.78
United Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $407.43 / $924.38	Professional		$285.20	$407.43	$924.38