Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.13 / $3,633.00 / $8,294.00	Facility		$917.13	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.15 / $555.98 / $804.25	Professional		$459.15	$555.98	$804.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.86 / $629.19 / $1,040.23	Professional		$485.86	$629.19	$1,040.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $552.91 / $552.91 / $3,019.00	Professional		$552.91	$552.91	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $601.13	Facility		$572.00	$572.00	$601.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.77 / $642.46 / $1,134.30	Professional		$485.77	$642.46	$1,134.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.20 / $653.16 / $771.93	Professional		$508.20	$653.16	$771.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $536.72 / $671.37 / $957.07	Facility		$536.72	$671.37	$957.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $712.00 / $1,003.00	Professional		$619.00	$712.00	$1,003.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $498.44 / $660.66 / $1,683.00	Facility		$498.44	$660.66	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $498.44 / $660.66 / $1,683.00	Professional		$498.44	$660.66	$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 $377.17 / $598.07 / $982.15	Professional		$377.17	$598.07	$982.15