Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.45 / $3,633.00 / $8,920.00	Facility		$614.45	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.82 / $663.71 / $857.72	Professional		$488.82	$663.71	$857.72
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 $451.21 / $568.28 / $939.53	Professional		$451.21	$568.28	$939.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $532.64 / $597.29 / $1,074.80	Professional		$532.64	$597.29	$1,074.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $835.51	Facility		$640.00	$640.00	$835.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.99 / $824.59 / $1,371.13	Professional		$542.99	$824.59	$1,371.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $659.17 / $843.74 / $988.16	Professional		$659.17	$843.74	$988.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $605.35 / $846.09 / $1,286.16	Facility		$605.35	$846.09	$1,286.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,053.00 / $1,299.00	Professional		$936.00	$1,053.00	$1,299.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $493.89 / $733.42 / $1,223.00	Facility		$493.89	$733.42	$1,223.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $673.82 / $924.40 / $1,567.40	Professional		$673.82	$924.40	$1,567.40
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.89 / $835.04 / $1,340.29	Professional		$531.89	$835.04	$1,340.29