Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.13 / $3,633.00 / $9,539.00	Facility		$460.13	$3,633.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.13 / $524.65 / $965.95	Professional		$415.13	$524.65	$965.95
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 $450.70 / $582.03 / $924.50	Professional		$450.70	$582.03	$924.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $558.66 / $642.00 / $2,413.00	Professional		$558.66	$642.00	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.14 / $820.14 / $820.14	Facility		$820.14	$820.14	$820.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.42 / $701.56 / $1,309.85	Professional		$472.42	$701.56	$1,309.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.93 / $577.57 / $740.04	Professional		$490.93	$577.57	$740.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $469.95 / $702.12 / $1,269.70	Facility		$469.95	$702.12	$1,269.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $659.00 / $786.69 / $1,451.00	Professional		$659.00	$786.69	$1,451.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $519.27 / $833.14 / $2,755.00	Facility		$519.27	$833.14	$2,755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $552.48 / $883.37 / $2,755.00	Professional		$552.48	$883.37	$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 $405.17 / $691.50 / $1,165.31	Professional		$405.17	$691.50	$1,165.31