Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.61 / $5,040.00 / $10,637.11	Facility		$566.61	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.14 / $462.48 / $567.79	Professional		$369.14	$462.48	$567.79
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 $387.16 / $537.04 / $792.69	Professional		$387.16	$537.04	$792.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $423.89 / $423.89 / $4,284.00	Professional		$423.89	$423.89	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.84 / $679.84 / $679.84	Facility		$679.84	$679.84	$679.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.03 / $535.37 / $946.99	Professional		$390.03	$535.37	$946.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.52 / $641.78 / $764.03	Professional		$570.52	$641.78	$764.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $377.92 / $528.46 / $755.18	Facility		$377.92	$528.46	$755.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $599.00 / $716.00 / $1,011.00	Professional		$599.00	$716.00	$1,011.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $362.74 / $493.33 / $3,123.00	Facility		$362.74	$493.33	$3,123.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $457.04 / $642.46 / $3,123.00	Professional		$457.04	$642.46	$3,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,889.00	Facility		$1,911.00	$3,276.00	$5,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.87 / $531.45 / $929.06	Professional		$392.87	$531.45	$929.06