Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.54 / $5,087.00 / $8,294.00	Facility		$573.54	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.72 / $528.79 / $971.34	Professional		$449.72	$528.79	$971.34
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 $439.84 / $574.96 / $817.07	Professional		$439.84	$574.96	$817.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $500.69 / $500.69 / $1,006.39	Professional		$500.69	$500.69	$1,006.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $925.00 / $1,572.88	Facility		$490.00	$925.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.48 / $574.45 / $1,040.93	Professional		$417.48	$574.45	$1,040.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.74 / $552.89 / $772.83	Professional		$460.74	$552.89	$772.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $472.35 / $607.95 / $920.20	Facility		$472.35	$607.95	$920.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $523.00 / $647.00 / $1,129.13	Professional		$523.00	$647.00	$1,129.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $446.13 / $570.09 / $1,133.51	Facility		$446.13	$570.09	$1,133.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $446.13 / $570.09 / $1,133.51	Professional		$446.13	$570.09	$1,133.51
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,739.00	Facility		$908.00	$5,815.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.27 / $520.54 / $927.16	Professional		$362.27	$520.54	$927.16