Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.39 / $2,190.00 / $8,294.00	Facility		$559.39	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.04 / $536.71 / $690.61	Professional		$430.04	$536.71	$690.61
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 $455.91 / $589.89 / $975.26	Professional		$455.91	$589.89	$975.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $525.59 / $568.10 / $1,024.90	Professional		$525.59	$568.10	$1,024.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $834.70	Facility		$420.00	$420.00	$834.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.93 / $631.91 / $1,127.34	Professional		$480.93	$631.91	$1,127.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.68 / $659.68 / $779.62	Professional		$510.68	$659.68	$779.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $504.35 / $632.11 / $946.46	Facility		$504.35	$632.11	$946.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $702.00 / $999.00	Professional		$627.00	$702.00	$999.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $477.99 / $609.08 / $1,145.31	Facility		$477.99	$609.08	$1,145.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $510.69 / $650.41 / $1,220.93	Professional		$510.69	$650.41	$1,220.93
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 $383.24 / $630.54 / $964.25	Professional		$383.24	$630.54	$964.25