Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.50 / $3,377.27 / $8,294.00	Facility		$423.50	$3,377.27	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.54 / $603.87 / $1,025.44	Professional		$337.54	$603.87	$1,025.44
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 $334.88 / $606.14 / $936.94	Professional		$334.88	$606.14	$936.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.99 / $389.05 / $2,315.00	Professional		$363.99	$389.05	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.04 / $600.04 / $600.04	Facility		$600.04	$600.04	$600.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.39 / $661.67 / $1,040.05	Professional		$357.39	$661.67	$1,040.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.40 / $798.56 / $950.66	Professional		$714.40	$798.56	$950.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $339.80 / $616.58 / $958.00	Facility		$339.80	$616.58	$958.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $808.00 / $936.00 / $1,270.00	Professional		$808.00	$936.00	$1,270.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $372.48 / $494.17 / $1,380.00	Facility		$372.48	$494.17	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $674.96 / $842.58 / $1,571.43	Professional		$674.96	$842.58	$1,571.43
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.21 / $707.71 / $1,208.45	Professional		$539.21	$707.71	$1,208.45