Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.50 / $4,796.00 / $9,539.00	Facility		$501.50	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.81 / $501.50 / $761.14	Professional		$398.81	$501.50	$761.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.11 / $529.41 / $745.99	Professional		$420.11	$529.41	$745.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $488.06 / $953.88 / $8,031.00	Professional		$488.06	$953.88	$8,031.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.12 / $760.12 / $760.12	Facility		$760.12	$760.12	$760.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.01 / $605.35 / $1,062.93	Professional		$424.01	$605.35	$1,062.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.22 / $644.96 / $821.95	Professional		$548.22	$644.96	$821.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $433.94 / $616.85 / $964.36	Facility		$433.94	$616.85	$964.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $777.00 / $1,074.70	Professional		$670.00	$777.00	$1,074.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $400.67 / $563.60 / $9,210.00	Facility		$400.67	$563.60	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $468.92 / $705.84 / $9,210.00	Professional		$468.92	$705.84	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.40 / $546.71 / $930.66	Professional		$396.40	$546.71	$930.66