Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.21 / $3,988.00 / $7,700.00	Facility		$536.21	$3,988.00	$7,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.04 / $569.24 / $968.16	Professional		$410.04	$569.24	$968.16
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 $419.30 / $567.86 / $846.33	Professional		$419.30	$567.86	$846.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.75 / $462.45 / $897.97	Professional		$446.75	$462.45	$897.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $642.79 / $835.64	Facility		$490.00	$642.79	$835.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.03 / $594.07 / $1,043.71	Professional		$406.03	$594.07	$1,043.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $657.42 / $896.84	Professional		$510.00	$657.42	$896.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $429.96 / $619.61 / $954.98	Facility		$429.96	$619.61	$954.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $598.00 / $719.00 / $1,032.00	Professional		$598.00	$719.00	$1,032.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $399.79 / $502.20 / $1,001.26	Facility		$399.79	$502.20	$1,001.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $491.75 / $659.31 / $1,302.86	Professional		$491.75	$659.31	$1,302.86
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 $407.46 / $594.38 / $1,012.14	Professional		$407.46	$594.38	$1,012.14