Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.70 / $3,633.00 / $8,294.00	Facility		$379.70	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.14 / $541.51 / $862.76	Professional		$299.14	$541.51	$862.76
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 $300.50 / $562.04 / $880.58	Professional		$300.50	$562.04	$880.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $327.11 / $349.12 / $2,315.00	Professional		$327.11	$349.12	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.88 / $538.88 / $538.88	Facility		$538.88	$538.88	$538.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.77 / $618.35 / $974.33	Professional		$320.77	$618.35	$974.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.33 / $751.74 / $894.93	Professional		$671.33	$751.74	$894.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $305.12 / $570.50 / $884.13	Facility		$305.12	$570.50	$884.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $739.49 / $862.76 / $1,177.00	Professional		$739.49	$862.76	$1,177.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $334.17 / $442.89 / $1,380.00	Facility		$334.17	$442.89	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.74 / $805.00 / $1,476.51	Professional		$630.74	$805.00	$1,476.51
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 $487.15 / $663.35 / $1,103.17	Professional		$487.15	$663.35	$1,103.17