Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.35 / $3,645.00 / $8,294.00	Facility		$551.35	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.34 / $551.35 / $616.62	Professional		$456.34	$551.35	$616.62
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 $449.00 / $574.16 / $787.47	Professional		$449.00	$574.16	$787.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $540.41 / $778.26 / $4,716.00	Professional		$540.41	$778.26	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.53 / $651.59 / $1,206.96	Professional		$491.53	$651.59	$1,206.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.53 / $558.64 / $688.98	Professional		$465.53	$558.64	$688.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $676.66 / $952.55	Facility		$529.89	$676.66	$952.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $611.00 / $679.00 / $1,141.73	Professional		$611.00	$679.00	$1,141.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $479.78 / $650.49 / $3,512.00	Facility		$479.78	$650.49	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $479.78 / $650.49 / $3,512.00	Professional		$479.78	$650.49	$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 $416.11 / $653.15 / $1,106.01	Professional		$416.11	$653.15	$1,106.01