Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.72 / $3,633.00 / $8,294.00	Facility		$477.72	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.16 / $517.63 / $686.90	Professional		$396.16	$517.63	$686.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.90 / $579.24 / $850.70	Professional		$398.90	$579.24	$850.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $351.76 / $351.76 / $1,013.00	Professional		$351.76	$351.76	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.21 / $709.21 / $709.21	Facility		$709.21	$709.21	$709.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.04 / $614.92 / $1,108.43	Professional		$427.04	$614.92	$1,108.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.55 / $705.58 / $839.98	Professional		$629.55	$705.58	$839.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $396.45 / $572.82 / $847.91	Facility		$396.45	$572.82	$847.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $773.00 / $1,125.00	Professional		$660.00	$773.00	$1,125.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $400.09 / $535.22 / $1,380.00	Facility		$400.09	$535.22	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $523.79 / $748.73 / $1,446.36	Professional		$523.79	$748.73	$1,446.36
United Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $819.00 / $2,364.00	Facility		$217.00	$819.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.84 / $619.85 / $1,079.99	Professional		$437.84	$619.85	$1,079.99