Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.24 / $3,991.00 / $8,920.00	Facility		$590.24	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.87 / $590.24 / $593.79	Professional		$519.87	$590.24	$593.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,104.00 / $9,336.50 / $13,003.86	Facility		$4,104.00	$9,336.50	$13,003.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.11 / $703.47 / $964.80	Professional		$550.11	$703.47	$964.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $601.37 / $704.82 / $1,172.67	Professional		$601.37	$704.82	$1,172.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.62 / $711.67 / $1,418.13	Professional		$546.62	$711.67	$1,418.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.98 / $663.58 / $818.41	Professional		$552.98	$663.58	$818.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $590.24 / $727.73 / $1,080.14	Facility		$590.24	$727.73	$1,080.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $769.00 / $1,240.00	Professional		$632.00	$769.00	$1,240.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $552.98 / $724.17 / $2,070.00	Facility		$552.98	$724.17	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $552.98 / $724.17 / $2,070.00	Professional		$552.98	$724.17	$2,070.00
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 $470.73 / $759.15 / $1,241.55	Professional		$470.73	$759.15	$1,241.55