Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.83 / $3,645.00 / $8,294.00	Facility		$520.83	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.85 / $520.83 / $635.05	Professional		$396.85	$520.83	$635.05
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 $453.78 / $587.14 / $858.75	Professional		$453.78	$587.14	$858.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $498.23 / $556.95 / $15,704.00	Professional		$498.23	$556.95	$15,704.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.92 / $563.92 / $563.92	Facility		$563.92	$563.92	$563.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.74 / $607.12 / $1,178.36	Professional		$464.74	$607.12	$1,178.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.48 / $603.10 / $688.81	Professional		$482.48	$603.10	$688.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $442.71 / $616.83 / $850.84	Facility		$442.71	$616.83	$850.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $644.00 / $1,090.00	Professional		$567.00	$644.00	$1,090.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $464.13 / $619.33 / $1,420.40	Facility		$464.13	$619.33	$1,420.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $464.13 / $619.33 / $1,420.40	Professional		$464.13	$619.33	$1,420.40
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 $391.14 / $615.55 / $1,041.73	Professional		$391.14	$615.55	$1,041.73