Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.58 / $4,771.00 / $9,539.00	Facility		$757.58	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.79 / $757.58 / $795.53	Professional		$650.79	$757.58	$795.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,734.00 / $11,244.48 / $15,661.28	Facility		$6,734.00	$11,244.48	$15,661.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.16 / $803.29 / $1,101.71	Professional		$628.16	$803.29	$1,101.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $761.07 / $899.57 / $1,566.22	Professional		$761.07	$899.57	$1,566.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.00 / $896.51 / $1,681.78	Professional		$656.00	$896.51	$1,681.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $768.00 / $947.20	Professional		$640.00	$768.00	$947.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $701.61 / $900.85 / $1,281.57	Facility		$701.61	$900.85	$1,281.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $839.00 / $949.52 / $1,510.00	Professional		$839.00	$949.52	$1,510.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $650.77 / $863.33 / $2,070.00	Facility		$650.77	$863.33	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $650.77 / $863.33 / $2,070.00	Professional		$650.77	$863.33	$2,070.00
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 $553.69 / $880.78 / $1,400.48	Professional		$553.69	$880.78	$1,400.48