Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,632.00 / $2,162.40	Facility		$816.00	$1,632.00	$2,162.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.41 / $2,410.48 / $3,884.19	Facility		$1,142.41	$2,410.48	$3,884.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $768.00 / $768.00	Professional		$768.00	$768.00	$768.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,466.37 / $1,668.63 / $2,518.11	Professional		$1,466.37	$1,668.63	$2,518.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $65.55 / $1,433.20	Professional		$62.93	$65.55	$1,433.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $837.50 / $4,781.91	Facility		$47.56	$837.50	$4,781.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $74.00	Professional		$74.00	$74.00	$74.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $800.00 / $1,024.00	Facility		$760.00	$800.00	$1,024.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $800.00 / $1,024.00	Professional		$760.00	$800.00	$1,024.00
United Facility/Professional Professional Modifier Low / Median / High Price $787.08 / $800.00 / $1,433.20	Professional		$787.08	$800.00	$1,433.20