Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.25 / $3,832.00 / $8,920.00	Facility		$213.25	$3,832.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.48 / $427.33 / $664.63	Professional		$175.48	$427.33	$664.63
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 $177.87 / $426.00 / $714.70	Professional		$177.87	$426.00	$714.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $266.81 / $639.00 / $1,072.05	Professional	50	$266.81	$639.00	$1,072.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $291.24 / $5,354.00	Professional		$199.50	$291.24	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $492.29 / $947.92	Professional		$201.34	$492.29	$947.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.51 / $582.58 / $718.51	Professional		$403.51	$582.58	$718.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $202.82 / $485.48 / $920.71	Facility		$202.82	$485.48	$920.71
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $481.00 / $1,002.06 / $1,490.14	Facility	50	$481.00	$1,002.06	$1,490.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $420.17 / $655.00 / $955.00	Professional		$420.17	$655.00	$955.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.97 / $247.16 / $3,512.00	Facility		$183.97	$247.16	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $528.65 / $682.50 / $3,512.00	Professional		$528.65	$682.50	$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 $426.14 / $720.18 / $1,087.52	Professional		$426.14	$720.18	$1,087.52