Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.79 / $3,645.00 / $8,294.00	Facility		$887.79	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.94 / $539.48 / $705.70	Professional		$454.94	$539.48	$705.70
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 $471.29 / $610.33 / $1,009.05	Professional		$471.29	$610.33	$1,009.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.57 / $585.86 / $3,448.00	Professional		$549.57	$585.86	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $583.27	Facility		$572.00	$572.00	$583.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.91 / $656.53 / $1,101.53	Professional		$497.91	$656.53	$1,101.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.28 / $634.16 / $749.46	Professional		$493.28	$634.16	$749.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $526.71 / $666.06 / $990.60	Facility		$526.71	$666.06	$990.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $705.00 / $978.00	Professional		$620.00	$705.00	$978.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $494.36 / $637.34 / $2,190.13	Facility		$494.36	$637.34	$2,190.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $494.36 / $637.34 / $2,190.13	Professional		$494.36	$637.34	$2,190.13
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 $398.26 / $645.84 / $1,017.02	Professional		$398.26	$645.84	$1,017.02