Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.57 / $3,988.00 / $8,003.00	Facility		$756.57	$3,988.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.74 / $688.97 / $1,163.78	Professional		$455.74	$688.97	$1,163.78
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 $476.05 / $608.76 / $1,006.46	Professional		$476.05	$608.76	$1,006.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.94 / $581.54 / $3,714.00	Professional		$549.94	$581.54	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $868.02	Facility		$640.00	$640.00	$868.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.20 / $753.83 / $1,316.08	Professional		$518.20	$753.83	$1,316.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.66 / $831.44 / $982.61	Professional		$642.66	$831.44	$982.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $522.29 / $763.62 / $1,235.96	Facility		$522.29	$763.62	$1,235.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.00 / $943.00 / $1,253.00	Professional		$831.00	$943.00	$1,253.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $492.10 / $667.46 / $2,196.66	Facility		$492.10	$667.46	$2,196.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $887.11 / $2,936.39	Professional		$650.95	$887.11	$2,936.39
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 $519.54 / $816.89 / $1,278.78	Professional		$519.54	$816.89	$1,278.78