Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.07 / $5,087.00 / $8,294.00	Facility		$526.07	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.26 / $501.38 / $658.77	Professional		$410.26	$501.38	$658.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.50 / $568.66 / $940.18	Professional		$439.50	$568.66	$940.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $521.92 / $521.92 / $1,017.76	Professional		$521.92	$521.92	$1,017.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.35 / $542.35 / $640.00	Facility		$542.35	$542.35	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.80 / $567.00 / $1,026.39	Professional		$458.80	$567.00	$1,026.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.80 / $589.91 / $697.16	Professional		$458.80	$589.91	$697.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $458.80 / $596.64 / $886.94	Facility		$458.80	$596.64	$886.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $624.00 / $926.00	Professional		$579.00	$624.00	$926.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $438.09 / $581.66 / $1,683.00	Facility		$438.09	$581.66	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $438.09 / $581.66 / $1,683.00	Professional		$438.09	$581.66	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,175.00 / $5,340.00	Facility		$1,713.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.30 / $562.12 / $916.26	Professional		$340.30	$562.12	$916.26