Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.34 / $5,360.00 / $9,347.59	Facility		$881.34	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.70 / $535.37 / $699.36	Professional		$447.70	$535.37	$699.36
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 $468.06 / $605.61 / $1,001.25	Professional		$468.06	$605.61	$1,001.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $527.98 / $581.44 / $3,714.00	Professional		$527.98	$581.44	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $776.00	Facility		$578.80	$578.80	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.98 / $650.28 / $1,092.47	Professional		$491.98	$650.28	$1,092.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.49 / $629.41 / $743.86	Professional		$489.49	$629.41	$743.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $520.52 / $660.96 / $983.24	Facility		$520.52	$660.96	$983.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $598.00 / $696.00 / $970.00	Professional		$598.00	$696.00	$970.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $490.61 / $630.33 / $2,230.00	Facility		$490.61	$630.33	$2,230.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $490.61 / $630.33 / $2,230.00	Professional		$490.61	$630.33	$2,230.00
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 $388.70 / $633.95 / $979.30	Professional		$388.70	$633.95	$979.30