Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.79 / $1,990.00 / $7,275.00	Facility		$618.79	$1,990.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.22 / $575.71 / $1,053.08	Professional		$457.22	$575.71	$1,053.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.36 / $656.91 / $944.26	Professional		$482.36	$656.91	$944.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $552.54 / $552.54 / $3,426.00	Professional		$552.54	$552.54	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.83 / $850.83 / $850.83	Facility		$850.83	$850.83	$850.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.27 / $665.06 / $1,166.76	Professional		$490.27	$665.06	$1,166.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.44 / $751.21 / $894.30	Professional		$670.44	$751.21	$894.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $471.41 / $651.79 / $922.91	Facility		$471.41	$651.79	$922.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $747.00 / $879.00 / $1,235.00	Professional		$747.00	$879.00	$1,235.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $484.09 / $665.76 / $2,923.00	Facility		$484.09	$665.76	$2,923.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $564.88 / $781.48 / $2,984.49	Professional		$564.88	$781.48	$2,984.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.30 / $664.18 / $1,145.02	Professional		$470.30	$664.18	$1,145.02