Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.01 / $3,633.00 / $8,294.00	Facility		$499.01	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.72 / $500.80 / $631.13	Professional		$432.72	$500.80	$631.13
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 $437.30 / $595.54 / $868.10	Professional		$437.30	$595.54	$868.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $491.44 / $491.44 / $2,413.00	Professional		$491.44	$491.44	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.02 / $771.02 / $771.02	Facility		$771.02	$771.02	$771.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.17 / $600.96 / $1,075.57	Professional		$439.17	$600.96	$1,075.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.89 / $688.62 / $819.79	Professional		$613.89	$688.62	$819.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $414.03 / $570.53 / $826.78	Facility		$414.03	$570.53	$826.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $781.00 / $1,133.00	Professional		$670.00	$781.00	$1,133.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $566.64 / $1,380.00	Facility		$396.00	$566.64	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $483.89 / $724.39 / $1,421.00	Professional		$483.89	$724.39	$1,421.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.67 / $598.57 / $1,047.58	Professional		$437.67	$598.57	$1,047.58