Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.51 / $3,988.00 / $8,003.00	Facility		$569.51	$3,988.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.07 / $484.82 / $795.92	Professional		$321.07	$484.82	$795.92
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 $318.31 / $411.86 / $680.92	Professional		$318.31	$411.86	$680.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $348.16 / $393.27 / $4,117.00	Professional		$348.16	$393.27	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.66 / $603.66 / $640.00	Facility		$603.66	$603.66	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.65 / $545.80 / $946.64	Professional		$358.65	$545.80	$946.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.75 / $689.44 / $814.79	Professional		$532.75	$689.44	$814.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $357.27 / $569.52 / $862.50	Facility		$357.27	$569.52	$862.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $611.00 / $714.00 / $938.00	Professional		$611.00	$714.00	$938.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $326.10 / $426.64 / $1,524.19	Facility		$326.10	$426.64	$1,524.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $458.53 / $630.71 / $2,196.58	Professional		$458.53	$630.71	$2,196.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,556.00 / $12,739.00	Facility		$3,651.00	$6,556.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.15 / $583.61 / $956.60	Professional		$387.15	$583.61	$956.60