Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.94 / $3,754.00 / $9,589.83	Facility		$592.94	$3,754.00	$9,589.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $494.99 / $819.69	Professional		$335.38	$494.99	$819.69
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 $335.62 / $434.27 / $717.97	Professional		$335.62	$434.27	$717.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $410.12 / $442.93 / $4,646.00	Professional		$410.12	$442.93	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.90 / $622.90 / $776.00	Facility		$622.90	$622.90	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.83 / $558.08 / $993.10	Professional		$373.83	$558.08	$993.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.93 / $640.38 / $756.81	Professional		$499.93	$640.38	$756.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $406.88 / $592.94 / $915.30	Facility		$406.88	$592.94	$915.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $736.00 / $978.00	Professional		$627.00	$736.00	$978.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $355.01 / $470.11 / $1,737.09	Facility		$355.01	$470.11	$1,737.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $475.50 / $649.91 / $2,243.89	Professional		$475.50	$649.91	$2,243.89
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 $396.75 / $603.66 / $1,020.84	Professional		$396.75	$603.66	$1,020.84