Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.99 / $3,633.00 / $8,920.00	Facility		$477.99	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $477.99 / $594.07	Professional		$412.16	$477.99	$594.07
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 $390.30 / $499.11 / $684.52	Professional		$390.30	$499.11	$684.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $470.55 / $635.77 / $918.33	Professional		$470.55	$635.77	$918.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.84 / $564.90 / $1,046.73	Professional		$429.84	$564.90	$1,046.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.63 / $485.56 / $598.85	Professional		$404.63	$485.56	$598.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $474.48 / $586.63 / $858.89	Facility		$474.48	$586.63	$858.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $591.00 / $992.71	Professional		$530.00	$591.00	$992.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $417.46 / $560.74 / $3,512.00	Facility		$417.46	$560.74	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $417.46 / $560.74 / $3,512.00	Professional		$417.46	$560.74	$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 $366.87 / $559.83 / $917.98	Professional		$366.87	$559.83	$917.98