Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $758.75 / $2,397.03	Facility		$475.00	$758.75	$2,397.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $758.75 / $785.65	Professional		$475.00	$758.75	$785.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,125.00	Professional		$750.00	$750.00	$1,125.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $671.40 / $671.40 / $1,309.23	Professional		$671.40	$671.40	$1,309.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $192.15 / $479.39	Facility		$105.78	$192.15	$479.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.64 / $702.64 / $841.84	Professional		$702.64	$702.64	$841.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,017.00 / $3,017.00 / $4,088.00	Professional		$3,017.00	$3,017.00	$4,088.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $758.75 / $1,388.51	Facility		$475.00	$758.75	$1,388.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $7,420.00 / $9,929.00 / $10,945.00	Facility		$7,420.00	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $7,420.00 / $9,929.00 / $10,945.00	Professional		$7,420.00	$9,929.00	$10,945.00