Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.24 / $4,771.00 / $9,347.59	Facility		$686.24	$4,771.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.16 / $686.24 / $1,049.70	Professional		$575.16	$686.24	$1,049.70
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 $502.48 / $642.55 / $1,062.33	Professional		$502.48	$642.55	$1,062.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $652.32 / $5,113.00	Professional		$604.00	$652.32	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $910.23	Facility		$776.00	$776.00	$910.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.07 / $814.49 / $1,421.63	Professional		$565.07	$814.49	$1,421.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.71 / $800.17 / $945.66	Professional		$621.71	$800.17	$945.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $605.52 / $855.68 / $1,298.49	Facility		$605.52	$855.68	$1,298.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $889.00 / $1,072.00 / $1,283.52	Professional		$889.00	$1,072.00	$1,283.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $526.72 / $770.87 / $2,452.86	Facility		$526.72	$770.87	$2,452.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $623.00 / $899.28 / $2,907.64	Professional		$623.00	$899.28	$2,907.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,328.36 / $12,739.00	Facility		$3,651.00	$6,328.36	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.76 / $823.14 / $1,408.23	Professional		$548.76	$823.14	$1,408.23