Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.58 / $5,087.00 / $8,294.00	Facility		$515.58	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.30 / $501.63 / $774.15	Professional		$408.30	$501.63	$774.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.29 / $567.10 / $937.58	Professional		$438.29	$567.10	$937.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $510.28 / $545.14 / $3,019.00	Professional		$510.28	$545.14	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.62 / $541.62 / $640.00	Facility		$541.62	$541.62	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.80 / $609.32 / $1,018.87	Professional		$461.80	$609.32	$1,018.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.17 / $589.70 / $696.92	Professional		$458.17	$589.70	$696.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $488.15 / $603.23 / $896.00	Facility		$488.15	$603.23	$896.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $573.00 / $652.00 / $893.00	Professional		$573.00	$652.00	$893.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $426.54 / $591.54 / $1,683.00	Facility		$426.54	$591.54	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $426.54 / $591.54 / $1,683.00	Professional		$426.54	$591.54	$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 $351.24 / $558.46 / $886.55	Professional		$351.24	$558.46	$886.55