Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.04 / $3,226.00 / $8,007.00	Facility		$559.04	$3,226.00	$8,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.92 / $499.95 / $827.45	Professional		$341.92	$499.95	$827.45
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 $335.12 / $431.51 / $713.41	Professional		$335.12	$431.51	$713.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $413.56 / $427.05 / $5,113.00	Professional		$413.56	$427.05	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $621.17	Facility		$572.00	$572.00	$621.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.76 / $553.91 / $991.88	Professional		$374.76	$553.91	$991.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.20 / $652.00 / $770.55	Professional		$506.20	$652.00	$770.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.78 / $588.89 / $904.03	Facility		$380.78	$588.89	$904.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $626.00 / $728.00 / $979.00	Professional		$626.00	$728.00	$979.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $352.79 / $479.27 / $1,708.49	Facility		$352.79	$479.27	$1,708.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $463.79 / $653.33 / $2,245.26	Professional		$463.79	$653.33	$2,245.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,331.37 / $12,739.00	Facility		$3,651.00	$6,331.37	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.38 / $594.91 / $993.82	Professional		$393.38	$594.91	$993.82