Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.85 / $3,991.00 / $8,294.00	Facility		$644.85	$3,991.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.89 / $568.85 / $855.45	Professional		$418.89	$568.85	$855.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.79 / $587.78 / $871.54	Professional		$411.79	$587.78	$871.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $462.97 / $463.64 / $2,413.00	Professional		$462.97	$463.64	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $722.07 / $722.07 / $722.07	Facility		$722.07	$722.07	$722.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.23 / $628.01 / $1,066.67	Professional		$439.23	$628.01	$1,066.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.69 / $692.38 / $824.26	Professional		$617.69	$692.38	$824.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $435.48 / $615.54 / $860.75	Facility		$435.48	$615.54	$860.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $713.00 / $816.00 / $1,132.41	Professional		$713.00	$816.00	$1,132.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $427.42 / $569.72 / $3,123.00	Facility		$427.42	$569.72	$3,123.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $561.54 / $748.06 / $3,123.00	Professional		$561.54	$748.06	$3,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,819.00 / $5,764.00	Facility		$1,629.00	$2,819.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.33 / $622.16 / $1,032.58	Professional		$439.33	$622.16	$1,032.58