Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.79 / $3,645.00 / $8,294.00	Facility		$547.79	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.56 / $533.25 / $642.59	Professional		$405.56	$533.25	$642.59
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 $423.49 / $541.54 / $895.34	Professional		$423.49	$541.54	$895.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.98 / $505.96 / $2,012.00	Professional		$489.98	$505.96	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $572.00	Facility		$517.42	$517.42	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.38 / $578.75 / $1,040.89	Professional		$432.38	$578.75	$1,040.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.70 / $565.38 / $661.28	Professional		$441.70	$565.38	$661.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $465.63 / $618.19 / $919.48	Facility		$465.63	$618.19	$919.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $655.00 / $909.00	Professional		$564.00	$655.00	$909.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $452.44 / $590.32 / $2,047.60	Facility		$452.44	$590.32	$2,047.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $452.44 / $590.32 / $2,047.60	Professional		$452.44	$590.32	$2,047.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.05 / $584.60 / $977.70	Professional		$352.05	$584.60	$977.70