Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.16 / $3,991.00 / $8,920.00	Facility		$604.16	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.20 / $604.16 / $656.74	Professional		$501.20	$604.16	$656.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.35 / $614.26 / $842.45	Professional		$480.35	$614.26	$842.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $571.32 / $691.00 / $1,122.07	Professional		$571.32	$691.00	$1,122.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.66 / $722.48 / $1,321.31	Professional		$534.66	$722.48	$1,321.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.67 / $597.20 / $736.55	Professional		$497.67	$597.20	$736.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $560.79 / $741.47 / $1,061.17	Facility		$560.79	$741.47	$1,061.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $671.00 / $771.00 / $1,220.50	Professional		$671.00	$771.00	$1,220.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $535.16 / $729.54 / $1,632.00	Facility		$535.16	$729.54	$1,632.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $535.16 / $729.54 / $1,632.00	Professional		$535.16	$729.54	$1,632.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.67 / $757.98 / $1,142.59	Professional		$460.67	$757.98	$1,142.59