Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.25 / $4,771.00 / $9,539.00	Facility		$508.25	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.63 / $508.25 / $940.12	Professional		$291.63	$508.25	$940.12
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 $412.12 / $527.01 / $722.79	Professional		$412.12	$527.01	$722.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $495.20 / $743.72 / $11,515.00	Professional		$495.20	$743.72	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $463.08 / $1,111.58	Professional		$305.95	$463.08	$1,111.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.85 / $508.62 / $627.29	Professional		$423.85	$508.62	$627.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $359.28 / $538.75 / $830.29	Facility		$359.28	$538.75	$830.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $406.00 / $834.00	Professional		$266.00	$406.00	$834.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $285.20 / $516.12 / $3,512.00	Facility		$285.20	$516.12	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $516.12 / $3,512.00	Professional		$285.20	$516.12	$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 $258.54 / $417.50 / $982.69	Professional		$258.54	$417.50	$982.69