Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.59 / $3,991.00 / $8,920.00	Facility		$642.59	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.91 / $642.59 / $698.32	Professional		$532.91	$642.59	$698.32
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 $510.46 / $652.77 / $895.27	Professional		$510.46	$652.77	$895.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $607.04 / $825.62 / $9,211.00	Professional		$607.04	$825.62	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.80 / $765.93 / $1,404.91	Professional		$568.80	$765.93	$1,404.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.66 / $634.39 / $782.42	Professional		$528.66	$634.39	$782.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $595.60 / $788.64 / $1,122.71	Facility		$595.60	$788.64	$1,122.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $713.00 / $819.00 / $1,297.06	Professional		$713.00	$819.00	$1,297.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $567.36 / $767.64 / $1,632.00	Facility		$567.36	$767.64	$1,632.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $567.36 / $767.64 / $1,632.00	Professional		$567.36	$767.64	$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 $489.71 / $785.88 / $1,214.61	Professional		$489.71	$785.88	$1,214.61