Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.17 / $3,988.00 / $8,003.00	Facility		$450.17	$3,988.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.23 / $401.37 / $625.12	Professional		$275.23	$401.37	$625.12
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 $270.63 / $350.16 / $578.91	Professional		$270.63	$350.16	$578.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $318.06 / $349.87 / $3,019.00	Professional		$318.06	$349.87	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.27 / $504.27 / $640.00	Facility		$504.27	$504.27	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $457.29 / $805.40	Professional		$301.75	$457.29	$805.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.97 / $520.91 / $615.11	Professional		$406.97	$520.91	$615.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $321.37 / $485.09 / $739.86	Facility		$321.37	$485.09	$739.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $515.03 / $610.00 / $809.00	Professional		$515.03	$610.00	$809.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $293.83 / $381.83 / $1,291.00	Facility		$293.83	$381.83	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $398.87 / $532.41 / $1,856.61	Professional		$398.87	$532.41	$1,856.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.42 / $494.83 / $844.50	Professional		$335.42	$494.83	$844.50