Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,645.00 / $8,294.00	Facility		$933.25	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.45 / $568.96 / $732.17	Professional		$419.45	$568.96	$732.17
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 $492.15 / $643.34 / $1,063.63	Professional		$492.15	$643.34	$1,063.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $550.41 / $610.96 / $1,073.30	Professional		$550.41	$610.96	$1,073.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $615.63	Facility		$572.00	$572.00	$615.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.90 / $613.37 / $1,148.00	Professional		$474.90	$613.37	$1,148.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.91 / $670.91 / $792.90	Professional		$520.91	$670.91	$792.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $517.60 / $655.49 / $990.26	Facility		$517.60	$655.49	$990.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $594.00 / $660.00 / $1,007.00	Professional		$594.00	$660.00	$1,007.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $461.41 / $632.22 / $1,251.14	Facility		$461.41	$632.22	$1,251.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $461.41 / $632.22 / $1,251.14	Professional		$461.41	$632.22	$1,251.14
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 $368.81 / $592.30 / $994.00	Professional		$368.81	$592.30	$994.00