Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.75 / $1,508.91 / $2,448.60	Facility		$675.75	$1,508.91	$2,448.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.25 / $675.75 / $825.00	Professional		$596.25	$675.75	$825.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $3,871.65	Facility		$795.00	$795.00	$3,871.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $645.00	Professional		$500.00	$500.00	$645.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $636.00 / $715.50 / $1,395.22	Professional		$636.00	$715.50	$1,395.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.75 / $1,752.48 / $4,072.84	Facility		$516.75	$1,752.48	$4,072.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.65 / $491.23 / $1,312.18	Professional		$380.65	$491.23	$1,312.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $954.00 / $1,176.59	Professional		$795.00	$954.00	$1,176.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $397.50 / $596.25 / $1,081.20	Facility		$397.50	$596.25	$1,081.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $782.00 / $938.00 / $1,877.26	Professional		$782.00	$938.00	$1,877.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $556.50 / $955.59 / $4,071.00	Facility		$556.50	$955.59	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $556.50 / $962.27 / $4,071.00	Professional		$556.50	$962.27	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $413.40 / $795.00	Professional		$333.90	$413.40	$795.00