Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.60 / $1,776.53 / $2,882.88	Facility		$795.60	$1,776.53	$2,882.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $767.52 / $795.60	Professional		$702.00	$767.52	$795.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $936.00 / $4,558.32	Facility		$936.00	$936.00	$4,558.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $374.40 / $571.89	Professional		$374.40	$374.40	$571.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $748.80 / $842.40 / $1,642.68	Professional		$748.80	$842.40	$1,642.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.19 / $1,748.98 / $4,795.80	Facility		$615.19	$1,748.98	$4,795.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.16 / $568.13 / $1,544.86	Professional		$448.16	$568.13	$1,544.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,123.20 / $1,385.28	Professional		$936.00	$1,123.20	$1,385.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $795.60 / $1,272.96	Facility		$561.60	$795.60	$1,272.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $921.00 / $982.80 / $2,246.40	Professional		$921.00	$982.80	$2,246.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $655.20 / $1,125.07 / $4,071.00	Facility		$655.20	$1,125.07	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $655.20 / $1,132.93 / $4,071.00	Professional		$655.20	$1,132.93	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $468.00 / $936.00	Professional		$393.12	$468.00	$936.00