Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.10 / $3,991.00 / $8,920.00	Facility		$518.10	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.13 / $518.10 / $633.71	Professional		$439.13	$518.10	$633.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.57 / $540.38 / $769.61	Professional		$422.57	$540.38	$769.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $485.10 / $1,031.06	Professional		$467.74	$485.10	$1,031.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,787.47	Facility		$490.00	$610.00	$1,787.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.87 / $586.36 / $994.85	Professional		$441.87	$586.36	$994.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.09 / $525.04 / $750.08	Professional		$431.09	$525.04	$750.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $471.72 / $596.95 / $906.16	Facility		$471.72	$596.95	$906.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $646.00 / $1,056.83	Professional		$574.00	$646.00	$1,056.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $454.66 / $574.14 / $1,071.06	Facility		$454.66	$574.14	$1,071.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $454.66 / $574.14 / $1,071.06	Professional		$454.66	$574.14	$1,071.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.89 / $535.67 / $873.81	Professional		$355.89	$535.67	$873.81