Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.85 / $3,226.00 / $8,294.00	Facility		$457.85	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.26 / $818.86 / $1,358.33	Professional		$373.26	$818.86	$1,358.33
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 $378.81 / $802.57 / $1,399.00	Professional		$378.81	$802.57	$1,399.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $467.00 / $938.67	Professional		$433.84	$467.00	$938.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $743.71 / $966.82	Facility		$610.00	$743.71	$966.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.91 / $824.30 / $3,658.27	Professional		$404.91	$824.30	$3,658.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.19 / $1,057.83 / $1,679.07	Professional		$809.19	$1,057.83	$1,679.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $422.34 / $965.18 / $3,721.76	Facility		$422.34	$965.18	$3,721.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,144.00 / $1,697.00 / $4,647.00	Professional		$1,144.00	$1,697.00	$4,647.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.74 / $501.88 / $901.12	Facility		$407.74	$501.88	$901.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,073.01 / $3,046.98 / $4,530.70	Professional		$1,073.01	$3,046.98	$4,530.70
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.62 / $1,602.10 / $4,685.03	Professional		$786.62	$1,602.10	$4,685.03