Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.67 / $4,390.00 / $8,920.00	Facility		$644.67	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.86 / $644.67 / $967.78	Professional		$518.86	$644.67	$967.78
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 $570.09 / $729.02 / $999.85	Professional		$570.09	$729.02	$999.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $693.94 / $902.68 / $5,895.00	Professional		$693.94	$902.68	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.70 / $747.47 / $1,465.30	Professional		$550.70	$747.47	$1,465.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.29 / $697.56 / $860.32	Professional		$581.29	$697.56	$860.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $569.20 / $756.86 / $1,089.51	Facility		$569.20	$756.86	$1,089.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $666.00 / $799.00 / $1,362.00	Professional		$666.00	$799.00	$1,362.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $752.15 / $3,512.00	Facility		$574.00	$752.15	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $752.15 / $3,512.00	Professional		$574.00	$752.15	$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 $486.38 / $729.94 / $1,282.83	Professional		$486.38	$729.94	$1,282.83