Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.16 / $3,988.00 / $8,294.00	Facility		$743.16	$3,988.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.29 / $590.85 / $1,025.93	Professional		$438.29	$590.85	$1,025.93
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 $448.62 / $580.46 / $959.67	Professional		$448.62	$580.46	$959.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $526.26 / $550.54 / $5,113.00	Professional		$526.26	$550.54	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $831.92	Facility		$640.00	$640.00	$831.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.67 / $695.86 / $1,276.48	Professional		$437.67	$695.86	$1,276.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.67 / $794.47 / $937.34	Professional		$620.67	$794.47	$937.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $463.09 / $715.07 / $1,076.43	Facility		$463.09	$715.07	$1,076.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $781.00 / $894.00 / $1,224.00	Professional		$781.00	$894.00	$1,224.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $375.23 / $612.41 / $2,119.96	Facility		$375.23	$612.41	$2,119.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $452.95 / $806.90 / $2,867.28	Professional		$452.95	$806.90	$2,867.28
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 $429.32 / $679.12 / $1,233.96	Professional		$429.32	$679.12	$1,233.96