Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.41 / $1,441.79 / $2,474.90	Facility		$552.41	$1,441.79	$2,474.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $552.41 / $845.65	Professional		$438.68	$552.41	$845.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $3,083.01	Facility		$1,303.95	$1,303.95	$3,083.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $433.26	Professional		$288.83	$288.83	$433.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $1,140.55 / $3,505.70	Professional		$584.90	$1,140.55	$3,505.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.43 / $1,391.41 / $2,995.90	Facility		$384.43	$1,391.41	$2,995.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $395.22 / $1,703.58	Professional		$297.36	$395.22	$1,703.58
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 $526.41 / $845.65 / $1,067.08	Facility		$526.41	$845.65	$1,067.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $987.00 / $1,403.76	Professional		$585.00	$987.00	$1,403.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $454.92 / $731.13 / $2,496.00	Facility		$454.92	$731.13	$2,496.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $454.92 / $763.29 / $2,642.67	Professional		$454.92	$763.29	$2,642.67
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $389.93 / $796.22	Professional		$245.66	$389.93	$796.22