Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,715.35 / $3,715.35	Facility		$660.69	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,630.78 / $3,715.35	Professional		$3,548.13	$3,630.78	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $2,630.27	Facility		$776.25	$1,548.82	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,630.78 / $6,025.60	Professional		$3,548.13	$3,630.78	$6,025.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $4,265.80	Professional		$2,691.53	$3,801.89	$4,265.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $6,456.54	Facility		$3,548.13	$4,365.16	$6,456.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $5,495.41	Facility		$3,548.13	$4,265.80	$5,495.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $5,495.41	Professional		$3,548.13	$4,265.80	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $776.25 / $4,365.16	Facility		$676.08	$776.25	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,570.88	Professional		$3,801.89	$3,801.89	$4,570.88