Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.55 / $5,412.00 / $11,425.00	Facility		$517.55	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.66 / $572.94 / $765.45	Professional		$469.66	$572.94	$765.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.00 / $661.49 / $934.81	Professional		$515.00	$661.49	$934.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $644.85 / $1,301.53 / $2,764.00	Professional		$644.85	$1,301.53	$2,764.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.38 / $950.38 / $950.38	Facility		$950.38	$950.38	$950.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.62 / $696.87 / $1,127.33	Professional		$513.62	$696.87	$1,127.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.87 / $655.14 / $841.81	Professional		$556.87	$655.14	$841.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $517.55 / $712.23 / $1,052.66	Facility		$517.55	$712.23	$1,052.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $819.00 / $1,130.22	Professional		$696.00	$819.00	$1,130.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $526.44 / $692.90 / $1,578.00	Facility		$526.44	$692.90	$1,578.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $545.78 / $722.19 / $1,578.00	Professional		$545.78	$722.19	$1,578.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.32 / $568.15 / $951.99	Professional		$427.32	$568.15	$951.99