Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.57 / $5,360.00 / $9,975.00	Facility		$478.57	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.01 / $471.69 / $714.15	Professional		$415.01	$471.69	$714.15
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 $383.23 / $490.07 / $672.13	Professional		$383.23	$490.07	$672.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $462.38 / $664.26 / $4,284.00	Professional		$462.38	$664.26	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.85 / $557.45 / $1,031.92	Professional		$421.85	$557.45	$1,031.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $477.19 / $588.54	Professional		$397.66	$477.19	$588.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $453.90 / $578.89 / $847.16	Facility		$453.90	$578.89	$847.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.00 / $585.00 / $975.07	Professional		$524.00	$585.00	$975.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $426.60 / $554.44 / $5,122.00	Facility		$426.60	$554.44	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $554.44 / $5,122.00	Professional		$426.60	$554.44	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.53 / $536.54 / $906.35	Professional		$359.53	$536.54	$906.35