Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.27 / $4,771.00 / $9,539.00	Facility		$628.27	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.02 / $628.27 / $763.68	Professional		$482.02	$628.27	$763.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,362.13 / $8,012.60 / $11,216.04	Facility		$5,362.13	$8,012.60	$11,216.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.80 / $677.59 / $960.54	Professional		$519.80	$677.59	$960.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $581.74 / $651.14 / $1,134.39	Professional		$581.74	$651.14	$1,134.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $925.00	Facility		$490.00	$610.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.06 / $649.20 / $1,214.73	Professional		$465.06	$649.20	$1,214.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.37 / $672.46 / $851.20	Professional		$544.37	$672.46	$851.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $546.94 / $697.50 / $1,061.78	Facility		$546.94	$697.50	$1,061.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $597.00 / $726.76 / $1,230.00	Professional		$597.00	$726.76	$1,230.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $506.95 / $649.27 / $1,316.45	Facility		$506.95	$649.27	$1,316.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $506.95 / $649.27 / $1,316.45	Professional		$506.95	$649.27	$1,316.45
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.76 / $603.02 / $1,048.86	Professional		$406.76	$603.02	$1,048.86