Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.24 / $4,867.72 / $8,294.00	Facility		$708.24	$4,867.72	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $494.64 / $902.01	Professional		$412.16	$494.64	$902.01
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 $410.28 / $524.66 / $719.57	Professional		$410.28	$524.66	$719.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $474.76 / $626.28 / $4,284.00	Professional		$474.76	$626.28	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.88 / $588.71 / $1,111.30	Professional		$440.88	$588.71	$1,111.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.66 / $504.79 / $622.58	Professional		$420.66	$504.79	$622.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $460.21 / $584.57 / $808.06	Facility		$460.21	$584.57	$808.06
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $78.08 / $93.21 / $121.72	Facility	AS	$78.08	$93.21	$121.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $617.00 / $1,030.13	Professional		$546.00	$617.00	$1,030.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $452.28 / $578.01 / $3,512.00	Facility		$452.28	$578.01	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $452.28 / $578.01 / $3,512.00	Professional		$452.28	$578.01	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.25 / $604.94 / $963.77	Professional		$367.25	$604.94	$963.77