Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.22 / $5,087.00 / $8,925.00	Facility		$528.22	$5,087.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.18 / $528.22 / $862.91	Professional		$436.18	$528.22	$862.91
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 $437.32 / $559.24 / $924.59	Professional		$437.32	$559.24	$924.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $462.29 / $505.77 / $3,448.00	Professional		$462.29	$505.77	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $534.66 / $640.00	Facility		$534.66	$534.66	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.14 / $627.62 / $1,028.84	Professional		$462.14	$627.62	$1,028.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.28 / $573.79 / $678.07	Professional		$448.28	$573.79	$678.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $490.10 / $618.02 / $876.63	Facility		$490.10	$618.02	$876.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $586.00 / $662.00 / $1,097.00	Professional		$586.00	$662.00	$1,097.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $455.74 / $603.26 / $2,045.69	Facility		$455.74	$603.26	$2,045.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $455.74 / $603.26 / $2,045.69	Professional		$455.74	$603.26	$2,045.69
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 $379.80 / $560.35 / $901.42	Professional		$379.80	$560.35	$901.42