Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.49 / $1,595.55 / $2,589.19	Facility		$630.49	$1,595.55	$2,589.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.49 / $689.33 / $714.55	Professional		$630.49	$689.33	$714.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $840.65 / $4,093.97	Facility		$840.65	$840.65	$4,093.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $512.55	Professional		$336.26	$336.26	$512.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $672.52 / $672.52 / $1,311.41	Professional		$672.52	$672.52	$1,311.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $2,080.84 / $4,306.01	Facility		$546.41	$2,080.84	$4,306.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.54 / $519.48 / $1,496.75	Professional		$384.54	$519.48	$1,496.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $1,008.78 / $1,244.16	Professional		$840.65	$1,008.78	$1,244.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $590.61 / $1,008.78	Facility		$504.39	$590.61	$1,008.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $726.00 / $873.95 / $1,984.94	Professional		$726.00	$873.95	$1,984.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.46 / $1,010.46 / $4,071.00	Facility		$588.46	$1,010.46	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.46 / $1,010.46 / $4,071.00	Professional		$588.46	$1,010.46	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $369.89 / $672.52	Professional		$248.06	$369.89	$672.52