Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.88 / $5,087.00 / $8,925.00	Facility		$541.88	$5,087.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.61 / $541.88 / $597.91	Professional		$464.61	$541.88	$597.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.63 / $554.52 / $760.52	Professional		$433.63	$554.52	$760.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $492.78 / $750.69 / $7,369.00	Professional		$492.78	$750.69	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.02 / $652.11 / $1,210.26	Professional		$467.02	$652.11	$1,210.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.63 / $527.55 / $650.65	Professional		$439.63	$527.55	$650.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $541.88 / $667.25 / $973.16	Facility		$541.88	$667.25	$973.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $691.00 / $1,082.10	Professional		$604.00	$691.00	$1,082.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $492.21 / $644.34 / $6,585.00	Facility		$492.21	$644.34	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $492.21 / $644.34 / $6,585.00	Professional		$492.21	$644.34	$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 $395.44 / $689.43 / $988.69	Professional		$395.44	$689.43	$988.69