Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.48 / $4,511.00 / $9,347.59	Facility		$587.48	$4,511.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.06 / $538.79 / $654.47	Professional		$397.06	$538.79	$654.47
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 $378.62 / $484.18 / $800.49	Professional		$378.62	$484.18	$800.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $473.90 / $489.35 / $6,433.00	Professional		$473.90	$489.35	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.30 / $701.30 / $776.00	Facility		$701.30	$701.30	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.86 / $625.91 / $1,098.66	Professional		$422.86	$625.91	$1,098.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.79 / $692.21 / $810.46	Professional		$540.79	$692.21	$810.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $459.67 / $657.94 / $1,028.34	Facility		$459.67	$657.94	$1,028.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $729.00 / $824.00 / $1,073.00	Professional		$729.00	$824.00	$1,073.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $406.31 / $555.13 / $1,799.20	Facility		$406.31	$555.13	$1,799.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $540.79 / $729.41 / $2,513.19	Professional		$540.79	$729.41	$2,513.19
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 $464.99 / $728.08 / $1,081.54	Professional		$464.99	$728.08	$1,081.54