Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.58 / $5,087.00 / $8,294.00	Facility		$549.58	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.40 / $530.88 / $693.97	Professional		$455.40	$530.88	$693.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.59 / $600.50 / $992.80	Professional		$469.59	$600.50	$992.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $523.73 / $576.25 / $7,889.00	Professional		$523.73	$576.25	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.98 / $573.98 / $640.00	Facility		$573.98	$573.98	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.51 / $649.51 / $1,086.24	Professional		$490.51	$649.51	$1,086.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.36 / $623.85 / $737.28	Professional		$485.36	$623.85	$737.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $522.36 / $662.75 / $1,005.73	Facility		$522.36	$662.75	$1,005.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $603.00 / $700.00 / $962.00	Professional		$603.00	$700.00	$962.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $486.43 / $630.98 / $2,230.00	Facility		$486.43	$630.98	$2,230.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $486.43 / $630.98 / $2,230.00	Professional		$486.43	$630.98	$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 $403.98 / $603.80 / $966.60	Professional		$403.98	$603.80	$966.60