Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,288.25 / $2,570.40	Facility		$436.52	$1,288.25	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $575.44	Professional		$389.05	$446.68	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $2,290.87	Facility		$575.44	$575.44	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $389.05	Professional		$234.42	$234.42	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $3,981.07	Professional		$1,659.59	$2,630.27	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $2,630.27	Facility		$588.84	$1,445.44	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $1,096.48	Professional		$263.03	$354.81	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $851.14	Professional		$575.44	$691.83	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $575.44	Facility		$257.04	$257.04	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $1,230.27	Professional		$194.98	$194.98	$1,230.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $10,000.00	Facility		$416.87	$691.83	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $10,000.00	Professional		$416.87	$691.83	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $575.44 / $691.83	Facility		$245.47	$575.44	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $436.52	Professional		$245.47	$263.03	$436.52