Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,561.00 / $8,294.00	Facility		$812.00	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.94 / $528.03 / $675.91	Professional		$433.94	$528.03	$675.91
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 $461.88 / $598.15 / $988.92	Professional		$461.88	$598.15	$988.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.11 / $573.55 / $2,635.00	Professional		$512.11	$573.55	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $570.63	Facility		$420.00	$420.00	$570.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.37 / $607.17 / $1,064.17	Professional		$477.37	$607.17	$1,064.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.99 / $622.15 / $735.27	Professional		$482.99	$622.15	$735.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $482.99 / $619.07 / $916.83	Facility		$482.99	$619.07	$916.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $665.00 / $941.00	Professional		$585.00	$665.00	$941.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $464.90 / $603.75 / $1,683.00	Facility		$464.90	$603.75	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $464.90 / $603.75 / $1,683.00	Professional		$464.90	$603.75	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.97 / $598.73 / $952.89	Professional		$371.97	$598.73	$952.89