Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.94 / $3,633.00 / $8,920.00	Facility		$494.94	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.43 / $481.53 / $598.00	Professional		$390.43	$481.53	$598.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.29 / $545.48 / $901.84	Professional		$417.29	$545.48	$901.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $511.30 / $553.12 / $1,757.00	Professional		$511.30	$553.12	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $521.15	Facility		$420.00	$420.00	$521.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.09 / $556.42 / $970.44	Professional		$406.09	$556.42	$970.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.21 / $568.62 / $672.01	Professional		$441.21	$568.62	$672.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $470.09 / $563.66 / $815.28	Facility		$470.09	$563.66	$815.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $543.00 / $609.00 / $864.00	Professional		$543.00	$609.00	$864.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $401.40 / $553.66 / $1,056.72	Facility		$401.40	$553.66	$1,056.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $553.66 / $1,056.72	Professional		$401.40	$553.66	$1,056.72
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 $325.58 / $500.27 / $839.54	Professional		$325.58	$500.27	$839.54