Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.16 / $3,645.00 / $8,294.00	Facility		$512.16	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.49 / $491.05 / $643.29	Professional		$440.49	$491.05	$643.29
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 $417.34 / $533.69 / $731.95	Professional		$417.34	$533.69	$731.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $502.54 / $722.84 / $5,895.00	Professional		$502.54	$722.84	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.43 / $605.28 / $1,122.46	Professional		$459.43	$605.28	$1,122.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.49 / $518.99 / $640.09	Professional		$432.49	$518.99	$640.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $492.66 / $628.55 / $886.84	Facility		$492.66	$628.55	$886.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $638.00 / $1,061.33	Professional		$575.00	$638.00	$1,061.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $448.47 / $604.40 / $5,122.00	Facility		$448.47	$604.40	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $448.47 / $604.40 / $5,122.00	Professional		$448.47	$604.40	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,246.00 / $17,187.00	Facility		$5,121.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.07 / $607.86 / $992.30	Professional		$386.07	$607.86	$992.30