Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.01 / $3,988.00 / $8,003.00	Facility		$510.01	$3,988.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.29 / $458.76 / $736.96	Professional		$295.29	$458.76	$736.96
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 $288.24 / $372.96 / $616.61	Professional		$288.24	$372.96	$616.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $342.49 / $369.89 / $3,714.00	Professional		$342.49	$369.89	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.53 / $535.53 / $640.00	Facility		$535.53	$535.53	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.19 / $503.09 / $904.01	Professional		$323.19	$503.09	$904.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.97 / $588.92 / $696.01	Professional		$457.97	$588.92	$696.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $343.98 / $540.61 / $844.38	Facility		$343.98	$540.61	$844.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $591.00 / $684.00 / $910.00	Professional		$591.00	$684.00	$910.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $310.70 / $409.20 / $1,503.77	Facility		$310.70	$409.20	$1,503.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $448.08 / $603.84 / $2,132.56	Professional		$448.08	$603.84	$2,132.56
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 $377.32 / $592.29 / $962.54	Professional		$377.32	$592.29	$962.54