Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $517.29 / $1,756.43	Facility		$517.29	$517.29	$1,756.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.29 / $517.29 / $550.00	Professional		$517.29	$517.29	$550.00
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 $400.00 / $400.00 / $490.00	Professional		$400.00	$400.00	$490.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $980.00 / $1,097.59 / $1,911.00	Professional		$980.00	$1,097.59	$1,911.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $255.99 / $482.26	Facility		$105.78	$255.99	$482.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $1,708.00 / $1,708.00	Professional		$631.00	$1,708.00	$1,708.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $548.34 / $874.24	Facility		$517.29	$548.34	$874.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00