Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.89 / $5,412.00 / $16,216.00	Facility		$456.89	$5,412.00	$16,216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.89 / $473.79 / $620.25	Professional		$456.89	$473.79	$620.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,655.00 / $10,362.89 / $14,433.40	Facility		$6,655.00	$10,362.89	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.08 / $443.17 / $617.69	Professional		$348.08	$443.17	$617.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $437.25 / $510.76 / $995.98	Professional		$437.25	$510.76	$995.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.81 / $688.09 / $1,023.09	Professional		$384.81	$688.09	$1,023.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.33 / $426.40 / $525.89	Professional		$355.33	$426.40	$525.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.89 / $560.72 / $1,020.98	Facility		$456.89	$560.72	$1,020.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $584.00 / $827.00 / $1,061.00	Professional		$584.00	$827.00	$1,061.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $422.79 / $765.89 / $3,658.00	Facility		$422.79	$765.89	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $422.79 / $765.89 / $3,658.00	Professional		$422.79	$765.89	$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 $353.97 / $651.27 / $969.07	Professional		$353.97	$651.27	$969.07