Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.76 / $3,645.00 / $8,294.00	Facility		$785.76	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.81 / $478.42 / $689.37	Professional		$401.81	$478.42	$689.37
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 $418.19 / $541.54 / $895.34	Professional		$418.19	$541.54	$895.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $488.61 / $520.87 / $3,448.00	Professional		$488.61	$520.87	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.54 / $518.54 / $572.00	Facility		$518.54	$518.54	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.39 / $552.84 / $966.32	Professional		$438.39	$552.84	$966.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.19 / $564.97 / $667.69	Professional		$440.19	$564.97	$667.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $572.66 / $834.50	Facility		$425.00	$572.66	$834.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $545.00 / $619.00 / $862.00	Professional		$545.00	$619.00	$862.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $419.58 / $558.36 / $1,683.00	Facility		$419.58	$558.36	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $419.58 / $558.36 / $1,683.00	Professional		$419.58	$558.36	$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 $331.08 / $543.90 / $836.70	Professional		$331.08	$543.90	$836.70