Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.33 / $4,796.00 / $9,539.00	Facility		$516.33	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.35 / $516.33 / $798.80	Professional		$371.35	$516.33	$798.80
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 $393.07 / $502.65 / $697.97	Professional		$393.07	$502.65	$697.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $458.38 / $894.43 / $3,472.00	Professional		$458.38	$894.43	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.33 / $711.33 / $711.33	Facility		$711.33	$711.33	$711.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.97 / $626.90 / $1,103.54	Professional		$420.97	$626.90	$1,103.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.27 / $669.73 / $847.49	Professional		$569.27	$669.73	$847.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $447.08 / $643.54 / $1,012.08	Facility		$447.08	$643.54	$1,012.08
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $908.44 / $1,002.50 / $2,518.69	Facility	50	$908.44	$1,002.50	$2,518.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $792.00 / $1,111.00	Professional		$728.00	$792.00	$1,111.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $408.40 / $554.99 / $7,420.00	Facility		$408.40	$554.99	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $572.69 / $749.42 / $7,420.00	Professional		$572.69	$749.42	$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 $407.75 / $583.42 / $960.48	Professional		$407.75	$583.42	$960.48