Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,584.89 / $2,951.21	Facility		$575.44	$1,584.89	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $870.96	Professional		$501.19	$588.84	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $3,019.95	Facility		$758.58	$758.58	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $512.86	Professional		$302.00	$302.00	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $691.83	Professional		$588.84	$616.60	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,862.09 / $3,890.45	Facility		$776.25	$1,862.09	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $933.25 / $1,122.02	Professional		$446.68	$933.25	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,071.52	Professional		$758.58	$831.76	$1,071.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $851.14 / $1,258.93	Facility		$602.56	$851.14	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,584.89	Professional		$489.78	$489.78	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $870.96 / $1,380.38	Facility		$537.03	$870.96	$1,380.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,380.38	Professional		$537.03	$870.96	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $912.01	Facility		$457.09	$758.58	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $870.96	Professional		$316.23	$380.19	$870.96