Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.38 / $3,484.00 / $8,294.00	Facility		$749.38	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.18 / $579.87 / $820.52	Professional		$363.18	$579.87	$820.52
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 $413.08 / $539.98 / $892.74	Professional		$413.08	$539.98	$892.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $539.41 / $582.55 / $15,406.00	Professional		$539.41	$582.55	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $724.83	Facility		$572.00	$572.00	$724.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.56 / $705.95 / $1,332.77	Professional		$395.56	$705.95	$1,332.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $693.92 / $898.02 / $1,061.29	Professional		$693.92	$898.02	$1,061.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $431.67 / $729.33 / $1,185.65	Facility		$431.67	$729.33	$1,185.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $712.00 / $847.00 / $1,318.19	Professional		$712.00	$847.00	$1,318.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $306.26 / $501.50 / $1,683.00	Facility		$306.26	$501.50	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $546.21 / $846.43 / $1,993.50	Professional		$546.21	$846.43	$1,993.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.75 / $833.40 / $1,444.32	Professional		$503.75	$833.40	$1,444.32