Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.18 / $5,087.00 / $8,294.00	Facility		$504.18	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.94 / $476.90 / $694.38	Professional		$422.94	$476.90	$694.38
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 $423.49 / $541.54 / $895.34	Professional		$423.49	$541.54	$895.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $496.13 / $519.27 / $4,117.00	Professional		$496.13	$519.27	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $640.00	Facility		$517.42	$517.42	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.92 / $609.19 / $982.85	Professional		$447.92	$609.19	$982.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.25 / $561.97 / $664.14	Professional		$438.25	$561.97	$664.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $476.90 / $595.86 / $918.00	Facility		$476.90	$595.86	$918.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $556.00 / $641.00 / $880.00	Professional		$556.00	$641.00	$880.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $450.02 / $601.70 / $1,954.16	Facility		$450.02	$601.70	$1,954.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $450.02 / $601.70 / $1,954.16	Professional		$450.02	$601.70	$1,954.16
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 $355.86 / $569.38 / $866.57	Professional		$355.86	$569.38	$866.57