Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,226.00 / $8,294.00	Facility		$559.00	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.38 / $538.29 / $709.75	Professional		$455.38	$538.29	$709.75
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 $468.67 / $599.33 / $990.87	Professional		$468.67	$599.33	$990.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $577.09 / $603.82 / $2,012.00	Professional		$577.09	$603.82	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $853.34	Facility		$572.00	$572.00	$853.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.86 / $661.85 / $1,129.85	Professional		$494.86	$661.85	$1,129.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.27 / $629.11 / $743.50	Professional		$490.27	$629.11	$743.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $528.66 / $661.23 / $952.10	Facility		$528.66	$661.23	$952.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $711.00 / $984.00	Professional		$625.00	$711.00	$984.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $485.25 / $653.14 / $1,187.33	Facility		$485.25	$653.14	$1,187.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $492.66 / $659.12 / $1,206.45	Professional		$492.66	$659.12	$1,206.45
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 $389.42 / $612.84 / $979.81	Professional		$389.42	$612.84	$979.81