Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.65 / $4,771.00 / $8,920.00	Facility		$559.65	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.93 / $512.55 / $700.89	Professional		$387.93	$512.55	$700.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.55 / $479.46 / $792.69	Professional		$370.55	$479.46	$792.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $445.09 / $456.07 / $4,117.00	Professional		$445.09	$456.07	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $678.22	Facility		$640.00	$640.00	$678.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.19 / $579.86 / $1,016.40	Professional		$389.19	$579.86	$1,016.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.23 / $677.13 / $800.24	Professional		$523.23	$677.13	$800.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $424.40 / $600.79 / $914.26	Facility		$424.40	$600.79	$914.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $705.00 / $957.93	Professional		$610.00	$705.00	$957.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $345.70 / $491.15 / $1,770.00	Facility		$345.70	$491.15	$1,770.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $442.64 / $665.49 / $2,156.60	Professional		$442.64	$665.49	$2,156.60
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 $381.57 / $622.55 / $986.99	Professional		$381.57	$622.55	$986.99