Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.85 / $3,645.00 / $8,294.00	Facility		$554.85	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.36 / $554.85 / $698.78	Professional		$459.36	$554.85	$698.78
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 $468.10 / $611.90 / $1,011.65	Professional		$468.10	$611.90	$1,011.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $539.73 / $539.73 / $4,039.00	Professional		$539.73	$539.73	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $582.90	Facility		$572.00	$572.00	$582.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.26 / $590.79 / $1,118.61	Professional		$437.26	$590.79	$1,118.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.78 / $635.13 / $750.61	Professional		$490.78	$635.13	$750.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $484.76 / $618.55 / $943.25	Facility		$484.76	$618.55	$943.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $551.00 / $654.00 / $959.00	Professional		$551.00	$654.00	$959.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $614.33 / $2,144.52	Facility		$451.71	$614.33	$2,144.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $451.71 / $614.33 / $2,144.52	Professional		$451.71	$614.33	$2,144.52
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 $346.92 / $556.50 / $975.15	Professional		$346.92	$556.50	$975.15