Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.64 / $5,087.00 / $9,539.00	Facility		$516.64	$5,087.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.18 / $516.64 / $723.75	Professional		$453.18	$516.64	$723.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123,526.00 / $152,581.00 / $170,101.00	Facility		$123,526.00	$152,581.00	$170,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.92 / $519.35 / $723.87	Professional		$407.92	$519.35	$723.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $472.92 / $735.41 / $5,354.00	Professional		$472.92	$735.41	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.94 / $624.37 / $1,035.00	Professional		$460.94	$624.37	$1,035.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.68 / $504.82 / $622.61	Professional		$420.68	$504.82	$622.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $485.66 / $599.61 / $859.54	Facility		$485.66	$599.61	$859.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $658.00 / $1,218.00	Professional		$619.00	$658.00	$1,218.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $483.11 / $648.95 / $16,786.00	Facility		$483.11	$648.95	$16,786.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $483.11 / $648.95 / $16,786.00	Professional		$483.11	$648.95	$16,786.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $29,725.00 / $125,655.00	Facility		$12,301.00	$29,725.00	$125,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.62 / $709.20 / $939.46	Professional		$411.62	$709.20	$939.46