Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.33 / $5,087.00 / $8,294.00	Facility		$539.33	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.69 / $490.62 / $601.46	Professional		$405.69	$490.62	$601.46
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 $382.00 / $488.50 / $807.63	Professional		$382.00	$488.50	$807.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $463.93 / $501.04 / $3,714.00	Professional		$463.93	$501.04	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $640.00	Facility		$469.44	$469.44	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.67 / $586.46 / $960.48	Professional		$413.67	$586.46	$960.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.54 / $512.69 / $597.53	Professional		$400.54	$512.69	$597.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $427.29 / $595.94 / $907.66	Facility		$427.29	$595.94	$907.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $629.00 / $937.00	Professional		$539.00	$629.00	$937.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $426.57 / $597.90 / $2,230.00	Facility		$426.57	$597.90	$2,230.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $426.57 / $597.90 / $2,230.00	Professional		$426.57	$597.90	$2,230.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.55 / $616.39 / $969.32	Professional		$373.55	$616.39	$969.32