Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.21 / $3,645.00 / $8,294.00	Facility		$583.21	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.66 / $487.94 / $763.48	Professional		$403.66	$487.94	$763.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.63 / $554.52 / $760.52	Professional		$433.63	$554.52	$760.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.42 / $763.59 / $4,716.00	Professional		$512.42	$763.59	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.57 / $578.49 / $1,093.58	Professional		$424.57	$578.49	$1,093.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.84 / $532.61 / $656.88	Professional		$443.84	$532.61	$656.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $487.94 / $598.85 / $864.84	Facility		$487.94	$598.85	$864.84
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $715.83 / $975.60 / $1,297.26	Facility	50	$715.83	$975.60	$1,297.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $526.30 / $606.00 / $1,055.00	Professional		$526.30	$606.00	$1,055.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $385.92 / $573.75 / $3,512.00	Facility		$385.92	$573.75	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $385.92 / $573.75 / $3,512.00	Professional		$385.92	$573.75	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $554.79 / $966.77	Professional		$363.00	$554.79	$966.77