Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $488.60 / $1,138.28	Facility		$487.58	$488.60	$1,138.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.80 / $487.58 / $488.60	Professional		$310.80	$487.58	$488.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,492.06 / $3,195.45 / $4,035.32	Facility		$2,492.06	$3,195.45	$4,035.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $500.00	Professional		$400.00	$400.00	$500.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,310.40 / $2,281.50	Professional		$1,170.00	$1,310.40	$2,281.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.19 / $1,070.06 / $2,413.46	Facility		$116.19	$1,070.06	$2,413.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $228.18 / $379.21	Professional		$182.55	$228.18	$379.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,421.00 / $1,738.00	Professional		$1,000.00	$1,421.00	$1,738.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $488.60 / $744.14	Facility		$487.58	$488.60	$744.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $526.30 / $526.30 / $526.30	Professional		$526.30	$526.30	$526.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,929.00 / $10,945.00	Facility		$100.00	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $9,929.00 / $10,945.00	Professional		$100.00	$9,929.00	$10,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $650.00 / $650.00	Professional		$650.00	$650.00	$650.00