Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.01 / $5,087.00 / $8,294.00	Facility		$589.01	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.77 / $460.07 / $589.01	Professional		$360.77	$460.07	$589.01
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 $415.49 / $533.66 / $754.19	Professional		$415.49	$533.66	$754.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $495.53 / $966.28 / $4,284.00	Professional		$495.53	$966.28	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.23 / $515.23 / $515.23	Facility		$515.23	$515.23	$515.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.83 / $554.46 / $871.26	Professional		$408.83	$554.46	$871.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.36 / $506.30 / $649.82	Professional		$430.36	$506.30	$649.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $425.30 / $566.26 / $832.50	Facility		$425.30	$566.26	$832.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $554.00 / $637.00 / $869.17	Professional		$554.00	$637.00	$869.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $439.08 / $567.74 / $7,420.00	Facility		$439.08	$567.74	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $439.08 / $567.74 / $7,420.00	Professional		$439.08	$567.74	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.50 / $446.92 / $738.59	Professional		$332.50	$446.92	$738.59