Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,023.29 / $2,951.21	Facility		$363.08	$1,023.29	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $645.65	Professional		$363.08	$416.87	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,949.84	Facility		$489.78	$489.78	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $426.58	Professional		$239.88	$239.88	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $2,290.87 / $3,467.37	Professional		$416.87	$2,290.87	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,238.72	Facility		$776.25	$1,258.93	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $977.24	Professional		$251.19	$363.08	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $724.44	Professional		$489.78	$575.44	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $851.14 / $1,288.25	Facility		$416.87	$851.14	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $1,023.29	Professional		$389.05	$389.05	$1,023.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $10,000.00	Facility		$467.74	$691.83	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $10,000.00	Professional		$467.74	$691.83	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $489.78 / $588.84	Facility		$204.17	$489.78	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $691.83	Professional		$204.17	$295.12	$691.83