Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,187.76 / $4,073.80	Facility		$794.33	$2,187.76	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,202.26	Professional		$707.95	$812.83	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,168.69	Facility		$1,047.13	$1,047.13	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $776.25	Professional		$416.87	$416.87	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $851.14 / $954.99	Professional		$812.83	$851.14	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $5,370.32	Facility		$1,071.52	$2,570.40	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,737.80	Professional		$512.86	$741.31	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,479.11	Professional		$1,047.13	$1,148.15	$1,479.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $831.76 / $1,479.11	Facility		$660.69	$831.76	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $2,187.76	Professional		$676.08	$676.08	$2,187.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,258.93 / $10,000.00	Facility		$741.31	$1,258.93	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $10,000.00	Professional		$741.31	$1,258.93	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,047.13 / $1,258.93	Facility		$436.52	$1,047.13	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,202.26	Professional		$436.52	$524.81	$1,202.26