Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.15 / $3,645.00 / $8,294.00	Facility		$902.15	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.27 / $525.40 / $777.54	Professional		$410.27	$525.40	$777.54
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 $468.40 / $612.29 / $1,012.29	Professional		$468.40	$612.29	$1,012.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $492.02 / $551.05 / $3,448.00	Professional		$492.02	$551.05	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $580.85	Facility		$572.00	$572.00	$580.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.22 / $603.62 / $1,101.08	Professional		$469.22	$603.62	$1,101.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.03 / $633.92 / $749.19	Professional		$491.03	$633.92	$749.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $491.03 / $611.66 / $946.72	Facility		$491.03	$611.66	$946.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $642.00 / $959.00	Professional		$564.00	$642.00	$959.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $461.87 / $613.20 / $1,683.00	Facility		$461.87	$613.20	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $461.87 / $613.20 / $1,683.00	Professional		$461.87	$613.20	$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 $358.55 / $613.79 / $942.31	Professional		$358.55	$613.79	$942.31