Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.52 / $3,645.00 / $8,294.00	Facility		$481.52	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.56 / $481.52 / $525.51	Professional		$398.56	$481.52	$525.51
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 $392.75 / $502.25 / $688.83	Professional		$392.75	$502.25	$688.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $473.39 / $682.33 / $5,895.00	Professional		$473.39	$682.33	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.49 / $569.07 / $1,052.82	Professional		$429.49	$569.07	$1,052.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.15 / $488.58 / $602.58	Professional		$407.15	$488.58	$602.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $464.12 / $590.95 / $835.38	Facility		$464.12	$590.95	$835.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $596.00 / $998.93	Professional		$534.00	$596.00	$998.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $420.11 / $567.36 / $5,122.00	Facility		$420.11	$567.36	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $420.11 / $567.36 / $5,122.00	Professional		$420.11	$567.36	$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 $352.81 / $544.76 / $877.90	Professional		$352.81	$544.76	$877.90