Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.82 / $3,116.00 / $8,294.00	Facility		$588.82	$3,116.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.22 / $526.20 / $896.77	Professional		$349.22	$526.20	$896.77
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 $331.68 / $429.16 / $709.53	Professional		$331.68	$429.16	$709.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $383.67 / $414.36 / $3,448.00	Professional		$383.67	$414.36	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $614.42	Facility		$572.00	$572.00	$614.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.42 / $551.28 / $981.69	Professional		$369.42	$551.28	$981.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.17 / $629.67 / $744.17	Professional		$491.17	$629.67	$744.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $400.86 / $588.82 / $904.00	Facility		$400.86	$588.82	$904.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $617.00 / $723.00 / $975.00	Professional		$617.00	$723.00	$975.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $351.40 / $463.07 / $1,731.34	Facility		$351.40	$463.07	$1,731.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $458.16 / $638.52 / $2,284.42	Professional		$458.16	$638.52	$2,284.42
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 $404.19 / $592.80 / $987.11	Professional		$404.19	$592.80	$987.11