Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.66 / $3,226.00 / $8,294.00	Facility		$513.66	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.96 / $552.09 / $785.08	Professional		$381.96	$552.09	$785.08
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 $399.52 / $510.90 / $709.43	Professional		$399.52	$510.90	$709.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $462.44 / $913.36 / $3,426.00	Professional		$462.44	$913.36	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.43 / $727.43 / $727.43	Facility		$727.43	$727.43	$727.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.56 / $636.64 / $1,088.01	Professional		$416.56	$636.64	$1,088.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.70 / $658.47 / $837.99	Professional		$559.70	$658.47	$837.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $413.75 / $620.87 / $982.99	Facility		$413.75	$620.87	$982.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $732.00 / $821.00 / $1,096.00	Professional		$732.00	$821.00	$1,096.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $415.31 / $551.53 / $7,420.00	Facility		$415.31	$551.53	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $573.28 / $747.13 / $7,420.00	Professional		$573.28	$747.13	$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 $430.52 / $594.52 / $1,009.68	Professional		$430.52	$594.52	$1,009.68