Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.41 / $5,087.00 / $8,294.00	Facility		$476.41	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.88 / $476.41 / $520.01	Professional		$393.88	$476.41	$520.01
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 $389.07 / $497.54 / $682.37	Professional		$389.07	$497.54	$682.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $469.38 / $623.35 / $916.00	Professional		$469.38	$623.35	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.51 / $603.36 / $1,043.21	Professional		$428.51	$603.36	$1,043.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.38 / $484.06 / $597.00	Professional		$403.38	$484.06	$597.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $459.43 / $584.69 / $871.83	Facility		$459.43	$584.69	$871.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $528.00 / $632.10 / $989.62	Professional		$528.00	$632.10	$989.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $451.55 / $576.85 / $3,512.00	Facility		$451.55	$576.85	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $451.55 / $576.85 / $3,512.00	Professional		$451.55	$576.85	$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 $367.92 / $615.35 / $927.38	Professional		$367.92	$615.35	$927.38