Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.28 / $3,645.00 / $8,294.00	Facility		$500.28	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $482.61 / $609.49	Professional		$382.00	$482.61	$609.49
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 $420.90 / $550.20 / $909.64	Professional		$420.90	$550.20	$909.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $469.36 / $484.67 / $3,019.00	Professional		$469.36	$484.67	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.24 / $525.24 / $572.00	Facility		$525.24	$525.24	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.51 / $513.22 / $999.93	Professional		$381.51	$513.22	$999.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.28 / $573.65 / $677.95	Professional		$443.28	$573.65	$677.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $437.31 / $550.30 / $850.48	Facility		$437.31	$550.30	$850.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $577.00 / $847.00	Professional		$469.00	$577.00	$847.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $396.15 / $549.37 / $1,683.00	Facility		$396.15	$549.37	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $396.15 / $549.37 / $1,683.00	Professional		$396.15	$549.37	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.56 / $497.45 / $842.50	Professional		$316.56	$497.45	$842.50