Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.93 / $4,989.00 / $8,294.00	Facility		$774.93	$4,989.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.46 / $469.61 / $774.93	Professional		$387.46	$469.61	$774.93
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 $412.17 / $533.29 / $881.70	Professional		$412.17	$533.29	$881.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $487.02 / $511.78 / $3,019.00	Professional		$487.02	$511.78	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.99 / $509.99 / $640.00	Facility		$509.99	$509.99	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.52 / $585.22 / $965.46	Professional		$433.52	$585.22	$965.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.92 / $554.37 / $655.16	Professional		$431.92	$554.37	$655.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $433.27 / $572.84 / $859.39	Facility		$433.27	$572.84	$859.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $547.00 / $620.58 / $860.00	Professional		$547.00	$620.58	$860.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $409.65 / $560.54 / $1,683.00	Facility		$409.65	$560.54	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $409.65 / $560.54 / $1,683.00	Professional		$409.65	$560.54	$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 $339.63 / $536.26 / $851.88	Professional		$339.63	$536.26	$851.88