Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.24 / $5,412.00 / $11,425.00	Facility		$446.24	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.83 / $573.69 / $825.83	Professional		$430.83	$573.69	$825.83
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 $449.83 / $582.03 / $808.20	Professional		$449.83	$582.03	$808.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $674.75 / $873.04 / $1,212.31	Professional	50	$674.75	$873.04	$1,212.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $558.66 / $1,128.86 / $2,413.00	Professional		$558.66	$1,128.86	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $819.65 / $819.65 / $819.65	Facility		$819.65	$819.65	$819.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.34 / $642.46 / $971.37	Professional		$463.34	$642.46	$971.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.83 / $560.98 / $719.68	Professional		$476.83	$560.98	$719.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $469.59 / $668.12 / $977.95	Facility		$469.59	$668.12	$977.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $759.28 / $982.00	Professional		$640.00	$759.28	$982.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $472.04 / $673.49 / $2,755.00	Facility		$472.04	$673.49	$2,755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $494.17 / $698.57 / $2,755.00	Professional		$494.17	$698.57	$2,755.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.15 / $542.29 / $927.90	Professional		$394.15	$542.29	$927.90