Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.78 / $4,771.00 / $9,347.59	Facility		$849.78	$4,771.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.77 / $484.76 / $655.79	Professional		$423.77	$484.76	$655.79
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 $413.35 / $528.59 / $873.91	Professional		$413.35	$528.59	$873.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $500.26 / $528.47 / $3,714.00	Professional		$500.26	$528.47	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.45 / $501.45 / $776.00	Facility		$501.45	$501.45	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.73 / $603.27 / $962.14	Professional		$424.73	$603.27	$962.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.13 / $548.59 / $648.34	Professional		$425.13	$548.59	$648.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $422.51 / $597.41 / $883.71	Facility		$422.51	$597.41	$883.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $673.04 / $941.00	Professional		$589.00	$673.04	$941.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $414.54 / $592.87 / $1,885.69	Facility		$414.54	$592.87	$1,885.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $414.54 / $592.87 / $1,885.69	Professional		$414.54	$592.87	$1,885.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $541.74 / $849.93	Professional		$355.88	$541.74	$849.93