Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,442.48 / $2,720.80	Facility		$570.00	$1,442.48	$2,720.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $623.20 / $646.00	Professional		$570.00	$623.20	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $3,735.40	Facility		$760.00	$760.00	$3,735.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $494.00	Professional		$304.00	$304.00	$494.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $608.00 / $1,185.59	Professional		$608.00	$608.00	$1,185.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,414.68 / $3,893.34	Facility		$494.00	$1,414.68	$3,893.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.54 / $461.04 / $1,109.33	Professional		$294.54	$461.04	$1,109.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $912.00 / $1,124.80	Professional		$760.00	$912.00	$1,124.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.10 / $836.00 / $1,182.18	Facility		$602.10	$836.00	$1,182.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $741.00 / $798.00 / $1,794.70	Professional		$741.00	$798.00	$1,794.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $532.00 / $760.00 / $4,071.00	Facility		$532.00	$760.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $760.00 / $4,071.00	Professional		$532.00	$760.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $361.26 / $950.52	Professional		$252.88	$361.26	$950.52