Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.16 / $3,645.00 / $8,294.00	Facility		$847.16	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.47 / $518.26 / $748.89	Professional		$441.47	$518.26	$748.89
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 $455.76 / $582.82 / $963.57	Professional		$455.76	$582.82	$963.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $530.11 / $562.15 / $3,448.00	Professional		$530.11	$562.15	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.35 / $558.35 / $572.00	Facility		$558.35	$558.35	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.91 / $634.54 / $1,046.97	Professional		$475.91	$634.54	$1,046.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.31 / $610.04 / $720.97	Professional		$473.31	$610.04	$720.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $473.31 / $624.66 / $948.42	Facility		$473.31	$624.66	$948.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $591.00 / $674.63 / $935.00	Professional		$591.00	$674.63	$935.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $473.17 / $618.87 / $2,081.64	Facility		$473.17	$618.87	$2,081.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $473.17 / $618.87 / $2,081.64	Professional		$473.17	$618.87	$2,081.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.84 / $587.33 / $924.21	Professional		$380.84	$587.33	$924.21