Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.50 / $1,734.77 / $2,815.12	Facility		$685.50	$1,734.77	$2,815.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.50 / $749.48 / $776.90	Professional		$685.50	$749.48	$776.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,471.37 / $4,451.18 / $5,621.10	Facility		$3,471.37	$4,451.18	$5,621.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,036.68	Professional		$846.27	$846.27	$1,036.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $731.20 / $822.60 / $1,604.07	Professional		$731.20	$822.60	$1,604.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.73 / $1,707.87 / $4,681.75	Facility		$600.73	$1,707.87	$4,681.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $564.76 / $1,627.85	Professional		$450.58	$564.76	$1,627.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,096.80 / $1,352.72	Professional		$914.00	$1,096.80	$1,352.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $685.50 / $1,243.04	Facility		$457.00	$685.50	$1,243.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $899.00 / $959.70 / $2,193.60	Professional		$899.00	$959.70	$2,193.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $639.79 / $1,098.63 / $4,071.00	Facility		$639.79	$1,098.63	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $1,098.63 / $4,071.00	Professional		$639.79	$1,098.63	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $548.40 / $914.00 / $1,096.80	Facility		$548.40	$914.00	$1,096.80
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $457.00 / $1,051.09	Professional		$383.88	$457.00	$1,051.09