Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.73 / $4,796.00 / $9,539.00	Facility		$526.73	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.15 / $526.73 / $812.09	Professional		$397.15	$526.73	$812.09
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 $420.73 / $538.02 / $747.09	Professional		$420.73	$538.02	$747.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $491.03 / $958.19 / $4,337.00	Professional		$491.03	$958.19	$4,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.01 / $760.01 / $760.01	Facility		$760.01	$760.01	$760.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.45 / $639.05 / $1,122.94	Professional		$436.45	$639.05	$1,122.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.24 / $684.99 / $867.90	Professional		$582.24	$684.99	$867.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $423.12 / $621.91 / $1,028.92	Facility		$423.12	$621.91	$1,028.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $744.00 / $836.00 / $1,131.00	Professional		$744.00	$836.00	$1,131.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $425.19 / $571.16 / $7,420.00	Facility		$425.19	$571.16	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $508.15 / $758.53 / $7,420.00	Professional		$508.15	$758.53	$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 $430.05 / $593.67 / $981.14	Professional		$430.05	$593.67	$981.14