Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.35 / $4,390.00 / $8,294.00	Facility		$641.35	$4,390.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.91 / $554.95 / $677.55	Professional		$479.91	$554.95	$677.55
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 $437.61 / $566.71 / $936.94	Professional		$437.61	$566.71	$936.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.71 / $549.71 / $1,071.93	Professional		$549.71	$549.71	$1,071.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $782.18	Facility		$640.00	$640.00	$782.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.54 / $673.85 / $1,177.88	Professional		$454.54	$673.85	$1,177.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.41 / $733.00 / $866.27	Professional		$566.41	$733.00	$866.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $517.69 / $679.83 / $1,050.59	Facility		$517.69	$679.83	$1,050.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $694.00 / $814.00 / $1,132.32	Professional		$694.00	$814.00	$1,132.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $399.33 / $600.86 / $1,121.49	Facility		$399.33	$600.86	$1,121.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $485.11 / $742.50 / $1,366.57	Professional		$485.11	$742.50	$1,366.57
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 $430.00 / $669.62 / $1,125.38	Professional		$430.00	$669.62	$1,125.38