Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.29 / $2,848.00 / $7,275.00	Facility		$545.29	$2,848.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.64 / $607.79 / $1,149.28	Professional		$361.64	$607.79	$1,149.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.51 / $609.19 / $911.84	Professional		$393.51	$609.19	$911.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $452.90 / $452.90 / $3,774.00	Professional		$452.90	$452.90	$3,774.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $704.00 / $704.00	Facility		$704.00	$704.00	$704.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.58 / $633.92 / $1,138.92	Professional		$415.58	$633.92	$1,138.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.90 / $751.62 / $894.79	Professional		$671.90	$751.62	$894.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $404.75 / $618.00 / $986.99	Facility		$404.75	$618.00	$986.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $877.00 / $998.00 / $1,404.00	Professional		$877.00	$998.00	$1,404.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $418.14 / $565.23 / $2,251.00	Facility		$418.14	$565.23	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $623.47 / $878.50 / $2,755.00	Professional		$623.47	$878.50	$2,755.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,906.00 / $4,897.00	Facility		$1,066.00	$1,906.00	$4,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $755.36 / $1,254.94	Professional		$550.16	$755.36	$1,254.94