Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.22 / $3,645.00 / $8,294.00	Facility		$487.22	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.29 / $487.22 / $600.23	Professional		$375.29	$487.22	$600.23
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 $426.26 / $545.09 / $747.59	Professional		$426.26	$545.09	$747.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $517.37 / $707.52 / $4,716.00	Professional		$517.37	$707.52	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.45 / $575.79 / $1,113.41	Professional		$426.45	$575.79	$1,113.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.02 / $522.02 / $643.83	Professional		$435.02	$522.02	$643.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $425.41 / $580.41 / $818.07	Facility		$425.41	$580.41	$818.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $538.00 / $609.00 / $1,048.00	Professional		$538.00	$609.00	$1,048.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $433.66 / $579.36 / $3,512.00	Facility		$433.66	$579.36	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $433.66 / $579.36 / $3,512.00	Professional		$433.66	$579.36	$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 $369.58 / $584.52 / $986.56	Professional		$369.58	$584.52	$986.56