Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.82 / $4,691.00 / $8,294.00	Facility		$487.82	$4,691.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.57 / $487.82 / $739.45	Professional		$406.57	$487.82	$739.45
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 $430.25 / $543.48 / $764.00	Professional		$430.25	$543.48	$764.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.67 / $979.89 / $3,472.00	Professional		$501.67	$979.89	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.50 / $778.50 / $778.50	Facility		$778.50	$778.50	$778.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.79 / $618.49 / $1,033.21	Professional		$437.79	$618.49	$1,033.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.15 / $628.41 / $800.06	Professional		$534.15	$628.41	$800.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $449.28 / $630.80 / $951.80	Facility		$449.28	$630.80	$951.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $706.50 / $995.65 / $2,370.83	Facility	50	$706.50	$995.65	$2,370.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $784.00 / $1,080.60	Professional		$680.00	$784.00	$1,080.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $435.27 / $586.79 / $7,420.00	Facility		$435.27	$586.79	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $697.42 / $7,420.00	Professional		$540.58	$697.42	$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 $399.31 / $558.61 / $958.15	Professional		$399.31	$558.61	$958.15