Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.44 / $5,048.00 / $8,582.00	Facility		$804.44	$5,048.00	$8,582.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.02 / $489.20 / $913.34	Professional		$434.02	$489.20	$913.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.17 / $561.60 / $928.49	Professional		$439.17	$561.60	$928.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $506.28 / $533.66 / $3,714.00	Professional		$506.28	$533.66	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.27 / $536.27 / $640.00	Facility		$536.27	$536.27	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.48 / $694.70 / $1,027.89	Professional		$463.48	$694.70	$1,027.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.99 / $574.71 / $673.87	Professional		$448.99	$574.71	$673.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $487.87 / $649.39 / $1,100.00	Facility		$487.87	$649.39	$1,100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $583.00 / $679.38 / $1,122.00	Professional		$583.00	$679.38	$1,122.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $467.89 / $675.82 / $1,683.00	Facility		$467.89	$675.82	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $468.79 / $730.30 / $1,683.00	Professional		$468.79	$730.30	$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 $384.28 / $681.54 / $1,036.28	Professional		$384.28	$681.54	$1,036.28