Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.67 / $4,771.00 / $9,539.00	Facility		$487.67	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.22 / $487.67 / $596.05	Professional		$413.22	$487.67	$596.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.93 / $508.08 / $711.41	Professional		$389.93	$508.08	$711.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $482.35 / $557.10 / $1,086.34	Professional		$482.35	$557.10	$1,086.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $526.00 / $925.00	Facility		$490.00	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.76 / $553.57 / $964.71	Professional		$405.76	$553.57	$964.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.40 / $508.00 / $757.30	Professional		$406.40	$508.00	$757.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $414.52 / $554.17 / $816.17	Facility		$414.52	$554.17	$816.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $620.00 / $997.27	Professional		$546.00	$620.00	$997.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $408.63 / $536.12 / $1,008.57	Facility		$408.63	$536.12	$1,008.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $408.63 / $536.12 / $1,008.57	Professional		$408.63	$536.12	$1,008.57
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 $347.87 / $523.17 / $868.80	Professional		$347.87	$523.17	$868.80