Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.90 / $4,771.00 / $9,539.00	Facility		$550.90	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.41 / $550.90 / $784.56	Professional		$468.41	$550.90	$784.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.86 / $554.92 / $773.47	Professional		$435.86	$554.92	$773.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $577.42 / $646.61 / $1,260.89	Professional		$577.42	$646.61	$1,260.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.09 / $651.05 / $1,124.28	Professional		$475.09	$651.05	$1,124.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.23 / $536.67 / $661.90	Professional		$447.23	$536.67	$661.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $511.29 / $638.73 / $919.38	Facility		$511.29	$638.73	$919.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $693.00 / $1,237.00	Professional		$624.00	$693.00	$1,237.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $500.32 / $660.42 / $3,658.00	Facility		$500.32	$660.42	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $500.32 / $660.42 / $3,658.00	Professional		$500.32	$660.42	$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 $432.26 / $671.43 / $1,072.13	Professional		$432.26	$671.43	$1,072.13