Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.95 / $4,492.00 / $9,539.00	Facility		$851.95	$4,492.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.15 / $605.78 / $1,035.15	Professional		$501.15	$605.78	$1,035.15
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 $547.34 / $699.93 / $959.95	Professional		$547.34	$699.93	$959.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $641.79 / $825.18 / $5,354.00	Professional		$641.79	$825.18	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.74 / $707.44 / $1,369.11	Professional		$528.74	$707.44	$1,369.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.62 / $671.54 / $828.24	Professional		$559.62	$671.54	$828.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $535.72 / $724.16 / $1,023.77	Facility		$535.72	$724.16	$1,023.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $88.07 / $139.76 / $150.11	Facility	AS	$88.07	$139.76	$150.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $647.00 / $743.00 / $1,261.00	Professional		$647.00	$743.00	$1,261.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $549.16 / $703.32 / $3,512.00	Facility		$549.16	$703.32	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $549.16 / $703.32 / $3,512.00	Professional		$549.16	$703.32	$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 $454.46 / $675.96 / $1,210.34	Professional		$454.46	$675.96	$1,210.34