Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.47 / $4,771.00 / $9,539.00	Facility		$630.47	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.98 / $630.47 / $777.91	Professional		$505.98	$630.47	$777.91
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 $525.83 / $672.42 / $956.38	Professional		$525.83	$672.42	$956.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $627.41 / $640.22 / $1,223.45	Professional		$627.41	$640.22	$1,223.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $610.00 / $642.88	Facility		$320.00	$610.00	$642.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.87 / $700.30 / $1,230.68	Professional		$525.87	$700.30	$1,230.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.08 / $658.51 / $920.31	Professional		$533.08	$658.51	$920.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $576.25 / $732.00 / $1,106.19	Facility		$576.25	$732.00	$1,106.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $779.12 / $1,298.00	Professional		$672.00	$779.12	$1,298.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $543.52 / $688.98 / $1,327.12	Facility		$543.52	$688.98	$1,327.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $543.52 / $688.98 / $1,327.12	Professional		$543.52	$688.98	$1,327.12
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.28 / $693.94 / $1,121.85	Professional		$436.28	$693.94	$1,121.85