Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.94 / $4,771.00 / $9,539.00	Facility		$632.94	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.05 / $632.94 / $1,194.49	Professional		$522.05	$632.94	$1,194.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,966.61 / $33,300.96 / $46,381.49	Facility		$14,966.61	$33,300.96	$46,381.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.29 / $655.69 / $915.21	Professional		$515.29	$655.69	$915.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $638.70 / $715.34 / $922.00	Professional		$638.70	$715.34	$922.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.13 / $776.79 / $1,326.60	Professional		$562.13	$776.79	$1,326.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $529.16 / $634.99 / $783.16	Professional		$529.16	$634.99	$783.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $581.55 / $748.02 / $1,139.51	Facility		$581.55	$748.02	$1,139.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $1,013.00 / $1,304.81	Professional		$714.00	$1,013.00	$1,304.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $575.41 / $753.79 / $3,658.00	Facility		$575.41	$753.79	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.41 / $753.79 / $3,658.00	Professional		$575.41	$753.79	$3,658.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $793.22 / $1,204.14	Professional		$510.50	$793.22	$1,204.14