Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.20 / $5,360.00 / $9,975.00	Facility		$565.20	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.39 / $558.01 / $693.47	Professional		$495.39	$558.01	$693.47
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 $453.91 / $580.46 / $796.10	Professional		$453.91	$580.46	$796.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $546.05 / $786.50 / $5,036.00	Professional		$546.05	$786.50	$5,036.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.41 / $659.47 / $1,223.23	Professional		$497.41	$659.47	$1,223.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.32 / $564.38 / $696.07	Professional		$470.32	$564.38	$696.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $551.55 / $684.84 / $1,003.29	Facility		$551.55	$684.84	$1,003.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $623.00 / $689.00 / $1,154.16	Professional		$623.00	$689.00	$1,154.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $507.13 / $653.75 / $5,122.00	Facility		$507.13	$653.75	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $507.13 / $653.75 / $5,122.00	Professional		$507.13	$653.75	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,246.00 / $17,187.00	Facility		$5,121.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.52 / $661.78 / $1,070.48	Professional		$419.52	$661.78	$1,070.48