Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.94 / $3,226.00 / $8,920.00	Facility		$589.94	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.89 / $545.04 / $856.30	Professional		$436.89	$545.04	$856.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.10 / $496.36 / $820.63	Professional		$394.10	$496.36	$820.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $499.30 / $517.08 / $1,008.31	Professional		$499.30	$517.08	$1,008.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.13 / $707.13 / $707.13	Facility		$707.13	$707.13	$707.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.73 / $613.74 / $977.02	Professional		$421.73	$613.74	$977.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.18 / $519.32 / $613.74	Professional		$405.18	$519.32	$613.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $432.41 / $651.98 / $977.15	Facility		$432.41	$651.98	$977.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $737.49 / $979.92	Professional		$613.00	$737.49	$979.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $435.73 / $616.78 / $1,027.01	Facility		$435.73	$616.78	$1,027.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $441.81 / $624.49 / $1,043.89	Professional		$441.81	$624.49	$1,043.89
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.08 / $587.71 / $907.66	Professional		$354.08	$587.71	$907.66