Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.04 / $5,087.00 / $8,920.00	Facility		$412.04	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.83 / $412.04 / $442.87	Professional		$348.83	$412.04	$442.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $392.31	Professional		$0.02	$0.02	$392.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,462.00 / $7,257.00 / $12,398.00	Professional		$5,462.00	$7,257.00	$12,398.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.46 / $512.53 / $790.15	Professional		$361.46	$512.53	$790.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.33 / $528.39 / $640.23	Professional		$440.33	$528.39	$640.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $409.47 / $469.44 / $723.47	Facility		$409.47	$469.44	$723.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $640.00 / $1,025.06	Professional		$560.00	$640.00	$1,025.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $404.88 / $499.09 / $4,071.00	Facility		$404.88	$499.09	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $404.88 / $499.09 / $4,071.00	Professional		$404.88	$499.09	$4,071.00
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 $331.98 / $540.79 / $831.33	Professional		$331.98	$540.79	$831.33