Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.96 / $5,636.00 / $14,798.00	Facility		$801.96	$5,636.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.59 / $486.20 / $704.95	Professional		$412.59	$486.20	$704.95
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 $426.75 / $552.16 / $912.90	Professional		$426.75	$552.16	$912.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $484.61 / $529.49 / $3,714.00	Professional		$484.61	$529.49	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.36 / $526.36 / $1,200.00	Facility		$526.36	$526.36	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.62 / $603.02 / $999.70	Professional		$452.62	$603.02	$999.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.12 / $571.66 / $675.61	Professional		$445.12	$571.66	$675.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $479.19 / $606.48 / $889.75	Facility		$479.19	$606.48	$889.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $635.60 / $868.00	Professional		$555.00	$635.60	$868.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $447.03 / $578.66 / $2,146.21	Facility		$447.03	$578.66	$2,146.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $447.03 / $578.66 / $2,146.21	Professional		$447.03	$578.66	$2,146.21
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.36 / $559.19 / $882.48	Professional		$355.36	$559.19	$882.48