Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.96 / $4,771.00 / $9,539.00	Facility		$614.96	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.94 / $614.96 / $763.87	Professional		$520.94	$614.96	$763.87
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 $504.47 / $659.45 / $932.19	Professional		$504.47	$659.45	$932.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $555.05 / $621.66 / $1,082.36	Professional		$555.05	$621.66	$1,082.36
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 $463.77 / $647.10 / $1,199.86	Professional		$463.77	$647.10	$1,199.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.94 / $649.69 / $892.33	Professional		$525.94	$649.69	$892.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $550.16 / $692.37 / $1,039.28	Facility		$550.16	$692.37	$1,039.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $598.50 / $736.00 / $1,294.20	Professional		$598.50	$736.00	$1,294.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $515.97 / $647.86 / $1,287.79	Facility		$515.97	$647.86	$1,287.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $515.97 / $647.86 / $1,287.79	Professional		$515.97	$647.86	$1,287.79
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 $414.32 / $600.19 / $1,026.05	Professional		$414.32	$600.19	$1,026.05