Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.27 / $4,691.00 / $8,294.00	Facility		$643.27	$4,691.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.39 / $690.22 / $1,256.96	Professional		$456.39	$690.22	$1,256.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.70 / $467.58 / $676.24	Professional		$311.70	$467.58	$676.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $467.56 / $701.38 / $1,014.36	Professional	50	$467.56	$701.38	$1,014.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $382.27 / $665.55 / $3,426.00	Professional		$382.27	$665.55	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.54 / $687.75 / $1,015.96	Professional		$398.54	$687.75	$1,015.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.41 / $548.89 / $676.97	Professional		$457.41	$548.89	$676.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $432.42 / $758.09 / $1,133.19	Facility		$432.42	$758.09	$1,133.19
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $869.81 / $1,447.71 / $2,273.92	Facility	50	$869.81	$1,447.71	$2,273.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $752.76 / $960.00 / $1,363.00	Professional		$752.76	$960.00	$1,363.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $376.54 / $669.26 / $7,420.00	Facility		$376.54	$669.26	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $547.05 / $864.23 / $7,420.00	Professional		$547.05	$864.23	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.75 / $757.69 / $1,180.08	Professional		$463.75	$757.69	$1,180.08