Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,318.26 / $1,698.24	Facility		$512.86	$1,318.26	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $676.08	Professional		$457.09	$537.03	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $4,265.80	Facility		$2,754.23	$3,630.78	$4,265.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $588.84	Professional		$338.84	$338.84	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $562.34 / $630.96	Professional		$537.03	$562.34	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,348.96 / $3,548.13	Facility		$707.95	$1,348.96	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,000.00	Professional		$831.76	$831.76	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $977.24	Professional		$691.83	$758.58	$977.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $676.08 / $1,071.52	Facility		$512.86	$676.08	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,445.44	Professional		$446.68	$446.68	$1,445.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,412.54	Facility		$489.78	$794.33	$1,412.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,584.89	Professional		$478.63	$794.33	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $831.76	Facility		$416.87	$691.83	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $794.33	Professional		$288.40	$346.74	$794.33