Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.30 / $4,796.00 / $9,539.00	Facility		$516.30	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.02 / $516.30 / $798.35	Professional		$371.02	$516.30	$798.35
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 $392.75 / $502.25 / $697.42	Professional		$392.75	$502.25	$697.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $458.00 / $896.08 / $3,472.00	Professional		$458.00	$896.08	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.36 / $711.36 / $711.36	Facility		$711.36	$711.36	$711.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.65 / $612.91 / $1,103.49	Professional		$407.65	$612.91	$1,103.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $568.94 / $669.34 / $846.92	Professional		$568.94	$669.34	$846.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $426.60 / $631.05 / $1,011.51	Facility		$426.60	$631.05	$1,011.51
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $849.00 / $946.59 / $2,518.40	Facility	50	$849.00	$946.59	$2,518.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $748.00 / $1,111.00	Professional		$716.00	$748.00	$1,111.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $408.32 / $539.66 / $7,420.00	Facility		$408.32	$539.66	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $552.75 / $741.43 / $7,420.00	Professional		$552.75	$741.43	$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 $412.34 / $600.11 / $964.15	Professional		$412.34	$600.11	$964.15