Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.20 / $2,561.00 / $8,294.00	Facility		$519.20	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.99 / $519.20 / $1,007.79	Professional		$429.99	$519.20	$1,007.79
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 $422.88 / $540.77 / $741.66	Professional		$422.88	$540.77	$741.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $509.11 / $733.80 / $5,895.00	Professional		$509.11	$733.80	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.84 / $613.60 / $1,137.13	Professional		$448.84	$613.60	$1,137.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $525.47 / $648.08	Professional		$437.89	$525.47	$648.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $498.69 / $637.20 / $897.16	Facility		$498.69	$637.20	$897.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $640.00 / $1,075.46	Professional		$575.00	$640.00	$1,075.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $467.96 / $612.83 / $3,512.00	Facility		$467.96	$612.83	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $467.96 / $612.83 / $3,512.00	Professional		$467.96	$612.83	$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 $393.38 / $623.16 / $1,005.27	Professional		$393.38	$623.16	$1,005.27