Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.77 / $3,991.00 / $8,920.00	Facility		$591.77	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.00 / $577.21 / $591.77	Professional		$515.00	$577.21	$591.77
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 $539.97 / $690.50 / $947.02	Professional		$539.97	$690.50	$947.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $611.91 / $685.61 / $1,193.24	Professional		$611.91	$685.61	$1,193.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.72 / $738.29 / $1,436.52	Professional		$556.72	$738.29	$1,436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.14 / $651.77 / $803.85	Professional		$543.14	$651.77	$803.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $577.21 / $745.99 / $1,082.94	Facility		$577.21	$745.99	$1,082.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $792.70 / $1,275.00	Professional		$650.00	$792.70	$1,275.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $571.37 / $745.73 / $2,070.00	Facility		$571.37	$745.73	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $571.37 / $745.73 / $2,070.00	Professional		$571.37	$745.73	$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 $463.89 / $762.11 / $1,196.25	Professional		$463.89	$762.11	$1,196.25