Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.45 / $1,702.51 / $2,762.76	Facility		$762.45	$1,702.51	$2,762.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.75 / $735.54 / $762.45	Professional		$672.75	$735.54	$762.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $897.00 / $4,368.39	Facility		$897.00	$897.00	$4,368.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $358.80 / $546.91	Professional		$358.80	$358.80	$546.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $717.60 / $807.30 / $1,574.23	Professional		$717.60	$807.30	$1,574.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.44 / $1,498.44 / $4,594.54	Facility		$390.44	$1,498.44	$4,594.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.72 / $554.34 / $1,597.00	Professional		$408.72	$554.34	$1,597.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,076.40 / $1,327.56	Professional		$897.00	$1,076.40	$1,327.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $448.50 / $672.75 / $1,219.92	Facility		$448.50	$672.75	$1,219.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $883.00 / $941.85 / $2,152.80	Professional		$883.00	$941.85	$2,152.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $627.90 / $1,078.19 / $4,071.00	Facility		$627.90	$1,078.19	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $627.90 / $1,085.73 / $4,071.00	Professional		$627.90	$1,085.73	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $448.50 / $897.00	Professional		$376.74	$448.50	$897.00