Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.83 / $5,091.00 / $9,539.00	Facility		$871.83	$5,091.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.63 / $537.66 / $698.93	Professional		$425.63	$537.66	$698.93
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 $465.09 / $607.97 / $1,005.15	Professional		$465.09	$607.97	$1,005.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $514.47 / $584.96 / $4,117.00	Professional		$514.47	$584.96	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $581.41 / $640.00	Facility		$581.41	$581.41	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.46 / $610.91 / $1,090.41	Professional		$467.46	$610.91	$1,090.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.95 / $633.63 / $748.84	Professional		$491.95	$633.63	$748.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $469.07 / $618.79 / $921.20	Facility		$469.07	$618.79	$921.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $527.00 / $647.55 / $952.00	Professional		$527.00	$647.55	$952.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $463.78 / $616.39 / $2,230.00	Facility		$463.78	$616.39	$2,230.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $463.78 / $616.39 / $2,230.00	Professional		$463.78	$616.39	$2,230.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.10 / $611.21 / $944.14	Professional		$373.10	$611.21	$944.14