Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.40 / $3,384.00 / $7,963.87	Facility		$580.40	$3,384.00	$7,963.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $534.59 / $907.10	Professional		$318.95	$534.59	$907.10
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 $313.47 / $400.86 / $662.74	Professional		$313.47	$400.86	$662.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.41 / $367.01 / $3,019.00	Professional		$329.41	$367.01	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.77 / $569.77 / $572.00	Facility		$569.77	$569.77	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.63 / $568.47 / $1,007.71	Professional		$350.63	$568.47	$1,007.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.21 / $682.28 / $806.33	Professional		$527.21	$682.28	$806.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $359.24 / $591.72 / $969.45	Facility		$359.24	$591.72	$969.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $622.00 / $770.00 / $985.00	Professional		$622.00	$770.00	$985.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $329.13 / $434.05 / $1,437.82	Facility		$329.13	$434.05	$1,437.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $523.60 / $715.75 / $1,683.00	Professional		$523.60	$715.75	$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 $435.30 / $701.91 / $1,074.07	Professional		$435.30	$701.91	$1,074.07