Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.34 / $3,645.00 / $8,294.00	Facility		$566.34	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.23 / $555.89 / $708.62	Professional		$466.23	$555.89	$708.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.51 / $601.67 / $994.75	Professional		$470.51	$601.67	$994.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $566.63 / $585.10 / $5,113.00	Professional		$566.63	$585.10	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $576.10	Facility		$572.00	$572.00	$576.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.82 / $669.31 / $1,107.74	Professional		$500.82	$669.31	$1,107.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.03 / $615.72 / $727.66	Professional		$481.03	$615.72	$727.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $527.34 / $671.01 / $965.03	Facility		$527.34	$671.01	$965.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $712.49 / $981.00	Professional		$631.00	$712.49	$981.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $502.44 / $654.14 / $2,200.98	Facility		$502.44	$654.14	$2,200.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $502.44 / $654.14 / $2,200.98	Professional		$502.44	$654.14	$2,200.98
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 $408.86 / $611.72 / $969.12	Professional		$408.86	$611.72	$969.12