Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.75 / $5,360.00 / $9,975.00	Facility		$529.75	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.14 / $529.75 / $668.24	Professional		$440.14	$529.75	$668.24
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 $435.17 / $556.49 / $763.22	Professional		$435.17	$556.49	$763.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $525.22 / $721.05 / $5,036.00	Professional		$525.22	$721.05	$5,036.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.74 / $626.07 / $1,163.80	Professional		$478.74	$626.07	$1,163.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.66 / $540.79 / $666.98	Professional		$450.66	$540.79	$666.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $513.67 / $650.15 / $925.61	Facility		$513.67	$650.15	$925.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $582.00 / $659.00 / $1,107.00	Professional		$582.00	$659.00	$1,107.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $464.88 / $629.64 / $3,512.00	Facility		$464.88	$629.64	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $464.88 / $629.64 / $3,512.00	Professional		$464.88	$629.64	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.21 / $593.32 / $950.55	Professional		$399.21	$593.32	$950.55