Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.07 / $5,087.00 / $8,294.00	Facility		$706.07	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.13 / $555.16 / $954.18	Professional		$436.13	$555.16	$954.18
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 $499.67 / $641.79 / $906.99	Professional		$499.67	$641.79	$906.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $594.00 / $1,164.86 / $4,284.00	Professional		$594.00	$1,164.86	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $619.97 / $619.97 / $619.97	Facility		$619.97	$619.97	$619.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.12 / $652.98 / $1,051.60	Professional		$478.12	$652.98	$1,051.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.11 / $608.36 / $783.63	Professional		$517.11	$608.36	$783.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $485.49 / $666.82 / $1,071.33	Facility		$485.49	$666.82	$1,071.33
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $858.00 / $1,183.25 / $2,349.38	Facility	50	$858.00	$1,183.25	$2,349.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $677.00 / $775.00 / $1,045.86	Professional		$677.00	$775.00	$1,045.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $455.25 / $694.00 / $7,420.00	Facility		$455.25	$694.00	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $455.25 / $694.00 / $7,420.00	Professional		$455.25	$694.00	$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 $387.34 / $490.12 / $891.48	Professional		$387.34	$490.12	$891.48