Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.11 / $5,360.00 / $9,975.00	Facility		$612.11	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.34 / $603.87 / $749.63	Professional		$519.34	$603.87	$749.63
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 $491.41 / $628.41 / $861.86	Professional		$491.41	$628.41	$861.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $591.79 / $852.55 / $7,369.00	Professional		$591.79	$852.55	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.01 / $713.67 / $1,323.12	Professional		$538.01	$713.67	$1,323.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.03 / $610.84 / $753.36	Professional		$509.03	$610.84	$753.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $741.11 / $1,085.33	Facility		$580.00	$741.11	$1,085.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $669.00 / $748.00 / $1,249.58	Professional		$669.00	$748.00	$1,249.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $529.30 / $707.10 / $5,122.00	Facility		$529.30	$707.10	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $529.30 / $707.10 / $5,122.00	Professional		$529.30	$707.10	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,291.00 / $17,187.00	Facility		$5,121.00	$8,291.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.04 / $709.59 / $1,158.36	Professional		$461.04	$709.59	$1,158.36