Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.79 / $4,796.00 / $9,539.00	Facility		$525.79	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.40 / $543.64 / $869.06	Professional		$394.40	$543.64	$869.06
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 $416.73 / $532.91 / $739.99	Professional		$416.73	$532.91	$739.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $625.10 / $799.36 / $1,109.99	Professional	50	$625.10	$799.36	$1,109.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $485.45 / $950.59 / $3,472.00	Professional		$485.45	$950.59	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.83 / $753.83 / $753.83	Facility		$753.83	$753.83	$753.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.02 / $661.32 / $1,125.36	Professional		$441.02	$661.32	$1,125.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.35 / $683.94 / $867.34	Professional		$581.35	$683.94	$867.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $649.51 / $1,036.00	Facility		$469.44	$649.51	$1,036.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $964.50 / $1,196.59 / $2,571.17	Facility	50	$964.50	$1,196.59	$2,571.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $742.00 / $818.00 / $1,133.00	Professional		$742.00	$818.00	$1,133.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $436.68 / $585.30 / $7,420.00	Facility		$436.68	$585.30	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $573.60 / $757.93 / $7,420.00	Professional		$573.60	$757.93	$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 $422.58 / $604.89 / $1,106.54	Professional		$422.58	$604.89	$1,106.54