Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.58 / $4,179.00 / $8,294.00	Facility		$504.58	$4,179.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.72 / $471.87 / $681.02	Professional		$326.72	$471.87	$681.02
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 $318.92 / $412.65 / $682.23	Professional		$318.92	$412.65	$682.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $383.78 / $390.74 / $3,019.00	Professional		$383.78	$390.74	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.92 / $596.92 / $640.00	Facility		$596.92	$596.92	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.73 / $520.80 / $943.47	Professional		$356.73	$520.80	$943.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.81 / $588.55 / $693.82	Professional		$459.81	$588.55	$693.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $378.51 / $557.79 / $846.65	Facility		$378.51	$557.79	$846.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $592.00 / $699.00 / $909.00	Professional		$592.00	$699.00	$909.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $337.60 / $443.90 / $1,481.05	Facility		$337.60	$443.90	$1,481.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $434.84 / $612.94 / $1,683.00	Professional		$434.84	$612.94	$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 $376.99 / $557.77 / $946.44	Professional		$376.99	$557.77	$946.44