Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.90 / $3,633.00 / $8,294.00	Facility		$607.90	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.18 / $607.90 / $908.00	Professional		$428.18	$607.90	$908.00
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 $452.07 / $578.10 / $802.74	Professional		$452.07	$578.10	$802.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $553.46 / $642.00 / $2,413.00	Professional		$553.46	$642.00	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.36 / $815.36 / $815.36	Facility		$815.36	$815.36	$815.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.99 / $716.06 / $1,236.63	Professional		$469.99	$716.06	$1,236.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $761.46 / $966.28	Professional		$647.24	$761.46	$966.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $453.87 / $691.12 / $1,150.44	Facility		$453.87	$691.12	$1,150.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $867.00 / $962.00 / $1,291.00	Professional		$867.00	$962.00	$1,291.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $458.31 / $605.66 / $3,440.00	Facility		$458.31	$605.66	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $593.54 / $856.00 / $3,440.00	Professional		$593.54	$856.00	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.23 / $681.35 / $1,193.72	Professional		$501.23	$681.35	$1,193.72