Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.95 / $4,511.00 / $9,347.59	Facility		$679.95	$4,511.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.59 / $627.54 / $768.32	Professional		$472.59	$627.54	$768.32
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 $449.92 / $575.35 / $951.22	Professional		$449.92	$575.35	$951.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $563.25 / $581.62 / $3,714.00	Professional		$563.25	$581.62	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $835.21	Facility		$776.00	$776.00	$835.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.25 / $738.73 / $1,303.15	Professional		$502.25	$738.73	$1,303.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.59 / $804.60 / $939.76	Professional		$628.59	$804.60	$939.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $539.86 / $776.66 / $1,222.03	Facility		$539.86	$776.66	$1,222.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $846.00 / $950.00 / $1,244.00	Professional		$846.00	$950.00	$1,244.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $659.96 / $2,144.05	Facility		$483.00	$659.96	$2,144.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $628.59 / $846.76 / $2,912.61	Professional		$628.59	$846.76	$2,912.61
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 $533.69 / $768.13 / $1,269.03	Professional		$533.69	$768.13	$1,269.03