Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.97 / $4,796.00 / $9,539.00	Facility		$453.97	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.56 / $453.97 / $746.99	Professional		$370.56	$453.97	$746.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.99 / $498.72 / $683.99	Professional		$389.99	$498.72	$683.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $442.26 / $499.15 / $862.41	Professional		$442.26	$499.15	$862.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.36 / $499.86 / $1,020.42	Professional		$378.36	$499.86	$1,020.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.44 / $470.93 / $580.80	Professional		$392.44	$470.93	$580.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $419.66 / $536.51 / $767.98	Facility		$419.66	$536.51	$767.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $562.08 / $973.01	Professional		$435.00	$562.08	$973.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $395.37 / $516.46 / $1,928.00	Facility		$395.37	$516.46	$1,928.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $395.37 / $516.46 / $1,928.00	Professional		$395.37	$516.46	$1,928.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.17 / $513.65 / $902.09	Professional		$335.17	$513.65	$902.09