Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.09 / $5,048.00 / $10,767.00	Facility		$438.09	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.64 / $438.09 / $648.04	Professional		$333.64	$438.09	$648.04
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 $434.18 / $552.51 / $760.13	Professional		$434.18	$552.51	$760.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $477.26 / $477.26 / $930.66	Professional		$477.26	$477.26	$930.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.23 / $574.54 / $981.49	Professional		$414.23	$574.54	$981.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $451.21 / $556.49	Professional		$376.01	$451.21	$556.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $372.38 / $513.12 / $769.68	Facility		$372.38	$513.12	$769.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $541.00 / $780.00 / $3,909.00	Professional		$541.00	$780.00	$3,909.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $742.58 / $5,502.98	Facility		$400.78	$742.58	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $400.78 / $742.58 / $5,502.98	Professional		$400.78	$742.58	$5,502.98
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 $336.46 / $502.46 / $794.43	Professional		$336.46	$502.46	$794.43