Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,516.00 / $8,294.00	Facility		$812.00	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.12 / $523.85 / $822.75	Professional		$434.12	$523.85	$822.75
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 $458.24 / $593.42 / $981.11	Professional		$458.24	$593.42	$981.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $514.23 / $569.86 / $2,012.00	Professional		$514.23	$569.86	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $568.02	Facility		$420.00	$420.00	$568.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.45 / $602.21 / $1,064.42	Professional		$471.45	$602.21	$1,064.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.40 / $617.87 / $730.21	Professional		$480.40	$617.87	$730.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $459.12 / $614.59 / $918.78	Facility		$459.12	$614.59	$918.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $670.00 / $945.00	Professional		$589.00	$670.00	$945.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $444.59 / $615.51 / $1,160.07	Facility		$444.59	$615.51	$1,160.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $444.59 / $615.51 / $1,160.07	Professional		$444.59	$615.51	$1,160.07
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 $373.22 / $584.84 / $910.42	Professional		$373.22	$584.84	$910.42