Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.11 / $3,226.00 / $8,294.00	Facility		$535.11	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.90 / $489.51 / $780.78	Professional		$393.90	$489.51	$780.78
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 $420.98 / $544.70 / $900.55	Professional		$420.98	$544.70	$900.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.79 / $526.40 / $2,012.00	Professional		$478.79	$526.40	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $768.83	Facility		$572.00	$572.00	$768.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.76 / $571.67 / $1,073.50	Professional		$441.76	$571.67	$1,073.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.98 / $632.79 / $747.85	Professional		$488.98	$632.79	$747.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $455.48 / $584.46 / $884.77	Facility		$455.48	$584.46	$884.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.00 / $656.00 / $945.00	Professional		$588.00	$656.00	$945.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $420.92 / $547.28 / $1,291.00	Facility		$420.92	$547.28	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $473.50 / $603.79 / $1,291.00	Professional		$473.50	$603.79	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $588.46 / $944.26	Professional		$359.75	$588.46	$944.26