Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.47 / $4,771.00 / $9,539.00	Facility		$553.47	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.69 / $553.47 / $681.80	Professional		$444.69	$553.47	$681.80
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 $462.33 / $598.04 / $852.26	Professional		$462.33	$598.04	$852.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $497.95 / $546.70 / $1,020.80	Professional		$497.95	$546.70	$1,020.80
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 $457.86 / $615.78 / $1,129.53	Professional		$457.86	$615.78	$1,129.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.01 / $594.45 / $786.22	Professional		$483.01	$594.45	$786.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $506.20 / $630.96 / $934.48	Facility		$506.20	$630.96	$934.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $541.00 / $681.80 / $1,164.00	Professional		$541.00	$681.80	$1,164.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $601.66 / $1,190.81	Facility		$483.85	$601.66	$1,190.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $483.85 / $601.66 / $1,190.81	Professional		$483.85	$601.66	$1,190.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,514.00 / $7,466.00 / $17,104.00	Facility		$1,514.00	$7,466.00	$17,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.01 / $596.32 / $972.84	Professional		$389.01	$596.32	$972.84