Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,621.81 / $3,890.45	Facility		$660.69	$1,621.81	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,148.15	Professional		$776.25	$776.25	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,479.11 / $2,630.27	Facility		$776.25	$1,479.11	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,288.25	Professional		$776.25	$776.25	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,148.15	Professional		$776.25	$776.25	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $776.25 / $776.25	Facility		$741.31	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,202.26	Professional		$660.69	$776.25	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $588.84	Professional		$194.98	$194.98	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $794.33 / $1,258.93	Facility		$316.23	$794.33	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $1,047.13	Professional		$398.11	$758.58	$1,047.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,230.27	Facility		$741.31	$1,023.29	$1,230.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,230.27	Professional		$741.31	$1,023.29	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $776.25 / $1,174.90	Facility		$707.95	$776.25	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $912.01	Professional		$776.25	$831.76	$912.01