Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.59 / $4,390.00 / $8,920.00	Facility		$519.59	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.66 / $519.59 / $644.21	Professional		$441.66	$519.59	$644.21
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 $428.26 / $554.13 / $810.47	Professional		$428.26	$554.13	$810.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $492.41 / $492.41 / $1,004.52	Professional		$492.41	$492.41	$1,004.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $610.00 / $2,202.23	Facility		$425.00	$610.00	$2,202.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $563.66 / $1,054.07	Professional		$393.19	$563.66	$1,054.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.57 / $544.02 / $764.04	Professional		$443.57	$544.02	$764.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $470.28 / $590.63 / $875.31	Facility		$470.28	$590.63	$875.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $540.60 / $647.00 / $1,087.51	Professional		$540.60	$647.00	$1,087.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $445.64 / $559.72 / $1,096.23	Facility		$445.64	$559.72	$1,096.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $445.64 / $559.72 / $1,096.23	Professional		$445.64	$559.72	$1,096.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.49 / $526.35 / $898.21	Professional		$350.49	$526.35	$898.21