Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.88 / $3,645.00 / $8,294.00	Facility		$740.88	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.19 / $646.95 / $790.20	Professional		$580.19	$646.95	$790.20
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 $561.16 / $717.62 / $984.21	Professional		$561.16	$717.62	$984.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $655.71 / $965.81 / $4,716.00	Professional		$655.71	$965.81	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.26 / $764.57 / $1,443.54	Professional		$574.26	$764.57	$1,443.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.83 / $687.40 / $847.79	Professional		$572.83	$687.40	$847.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $646.95 / $793.98 / $1,150.33	Facility		$646.95	$793.98	$1,150.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $709.00 / $802.00 / $1,405.00	Professional		$709.00	$802.00	$1,405.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $589.24 / $756.07 / $5,122.00	Facility		$589.24	$756.07	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $589.24 / $756.07 / $5,122.00	Professional		$589.24	$756.07	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,737.00 / $9,373.00 / $17,192.00	Facility		$5,737.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.16 / $764.57 / $1,292.58	Professional		$479.16	$764.57	$1,292.58