Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.84 / $3,645.00 / $8,294.00	Facility		$641.84	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.39 / $545.49 / $681.42	Professional		$456.39	$545.49	$681.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.65 / $614.65 / $842.99	Professional		$480.65	$614.65	$842.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $566.03 / $841.20 / $9,211.00	Professional		$566.03	$841.20	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.82 / $644.66 / $1,220.89	Professional		$484.82	$644.66	$1,220.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.53 / $591.04 / $728.94	Professional		$492.53	$591.04	$728.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $545.49 / $669.47 / $967.70	Facility		$545.49	$669.47	$967.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $677.00 / $1,188.00	Professional		$596.00	$677.00	$1,188.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $488.04 / $634.59 / $6,585.00	Facility		$488.04	$634.59	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $488.04 / $634.59 / $6,585.00	Professional		$488.04	$634.59	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.26 / $640.42 / $1,079.31	Professional		$405.26	$640.42	$1,079.31