Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.85 / $2,561.00 / $8,294.00	Facility		$790.85	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.97 / $462.61 / $599.62	Professional		$367.97	$462.61	$599.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.79 / $547.45 / $905.09	Professional		$418.79	$547.45	$905.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $473.35 / $525.41 / $2,012.00	Professional		$473.35	$525.41	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $523.76	Facility		$420.00	$420.00	$523.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.15 / $524.42 / $970.60	Professional		$414.15	$524.42	$970.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.42 / $572.37 / $676.44	Professional		$443.42	$572.37	$676.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $429.65 / $535.37 / $816.48	Facility		$429.65	$535.37	$816.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $509.00 / $574.00 / $858.00	Professional		$509.00	$574.00	$858.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $387.48 / $542.10 / $1,039.24	Facility		$387.48	$542.10	$1,039.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $542.10 / $1,039.24	Professional		$387.48	$542.10	$1,039.24
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.48 / $514.99 / $776.86	Professional		$318.48	$514.99	$776.86