Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.46 / $5,048.00 / $8,294.00	Facility		$574.46	$5,048.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.94 / $570.49 / $737.90	Professional		$403.94	$570.49	$737.90
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 $491.55 / $642.55 / $1,062.33	Professional		$491.55	$642.55	$1,062.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $565.54 / $619.22 / $4,117.00	Professional		$565.54	$619.22	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.78 / $613.78 / $640.00	Facility		$613.78	$613.78	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.10 / $615.05 / $1,149.72	Professional		$445.10	$615.05	$1,149.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.66 / $669.91 / $791.71	Professional		$517.66	$669.91	$791.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $508.30 / $647.69 / $985.19	Facility		$508.30	$647.69	$985.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $560.65 / $666.00 / $989.00	Professional		$560.65	$666.00	$989.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $425.64 / $631.05 / $2,253.39	Facility		$425.64	$631.05	$2,253.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $425.64 / $631.05 / $2,253.39	Professional		$425.64	$631.05	$2,253.39
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 $345.53 / $545.19 / $983.33	Professional		$345.53	$545.19	$983.33