Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.29 / $3,633.00 / $8,294.00	Facility		$463.29	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.46 / $463.29 / $706.55	Professional		$355.46	$463.29	$706.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.24 / $479.85 / $666.31	Professional		$375.24	$479.85	$666.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $437.87 / $856.38 / $4,284.00	Professional		$437.87	$856.38	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.06 / $677.06 / $677.06	Facility		$677.06	$677.06	$677.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.37 / $546.13 / $981.49	Professional		$381.37	$546.13	$981.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.23 / $595.57 / $755.66	Professional		$506.23	$595.57	$755.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $560.62 / $895.20	Facility		$388.32	$560.62	$895.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $734.00 / $988.00	Professional		$655.00	$734.00	$988.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $385.76 / $509.91 / $9,210.00	Facility		$385.76	$509.91	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $457.19 / $660.63 / $9,210.00	Professional		$457.19	$660.63	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.21 / $510.58 / $935.05	Professional		$377.21	$510.58	$935.05