Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.93 / $5,087.00 / $8,294.00	Facility		$658.93	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.35 / $595.55 / $811.05	Professional		$511.35	$595.55	$811.05
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 $498.17 / $637.04 / $873.71	Professional		$498.17	$637.04	$873.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $613.97 / $886.94 / $4,716.00	Professional		$613.97	$886.94	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.35 / $713.51 / $1,301.56	Professional		$536.35	$713.51	$1,301.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.40 / $613.67 / $756.87	Professional		$511.40	$613.67	$756.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $595.55 / $715.87 / $1,056.68	Facility		$595.55	$715.87	$1,056.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $663.60 / $754.00 / $1,266.46	Professional		$663.60	$754.00	$1,266.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $539.96 / $699.36 / $3,512.00	Facility		$539.96	$699.36	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $539.96 / $699.36 / $3,512.00	Professional		$539.96	$699.36	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.03 / $715.15 / $1,150.63	Professional		$432.03	$715.15	$1,150.63