Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.96 / $2,190.00 / $8,294.00	Facility		$523.96	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.45 / $493.12 / $622.37	Professional		$403.45	$493.12	$622.37
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 $423.10 / $547.45 / $905.09	Professional		$423.10	$547.45	$905.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $517.03 / $555.47 / $1,008.21	Professional		$517.03	$555.47	$1,008.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $773.83	Facility		$420.00	$420.00	$773.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.60 / $589.16 / $1,055.96	Professional		$447.60	$589.16	$1,055.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.74 / $615.97 / $727.96	Professional		$476.74	$615.97	$727.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $465.25 / $587.94 / $885.49	Facility		$465.25	$587.94	$885.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $660.00 / $935.00	Professional		$589.00	$660.00	$935.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $443.32 / $564.45 / $1,069.41	Facility		$443.32	$564.45	$1,069.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $476.74 / $608.89 / $1,148.81	Professional		$476.74	$608.89	$1,148.81
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 $366.95 / $575.03 / $904.07	Professional		$366.95	$575.03	$904.07