Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $1,734.77 / $3,445.78	Facility		$0.03	$1,734.77	$3,445.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $1,508.10 / $5,877.02	Professional		$0.02	$1,508.10	$5,877.02
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 / $1,289.96	Professional		$846.27	$846.27	$1,289.96
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 $594.10 / $1,707.87 / $4,681.75	Facility		$594.10	$1,707.87	$4,681.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $554.76 / $1,508.50	Professional		$450.58	$554.76	$1,508.50
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 $914.00 / $1,096.80 / $1,690.90	Facility		$914.00	$1,096.80	$1,690.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $899.00 / $1,252.00 / $2,193.60	Professional		$899.00	$1,252.00	$2,193.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $749.48 / $1,098.63 / $9,929.00	Facility		$749.48	$1,098.63	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $749.48 / $1,098.63 / $9,929.00	Professional		$749.48	$1,098.63	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $475.28 / $1,051.09	Professional		$383.88	$475.28	$1,051.09