Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.87 / $4,390.00 / $8,920.00	Facility		$462.87	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.80 / $462.87 / $522.63	Professional		$387.80	$462.87	$522.63
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 $442.24 / $565.53 / $775.62	Professional		$442.24	$565.53	$775.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $487.39 / $626.64 / $5,354.00	Professional		$487.39	$626.64	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.72 / $609.30 / $1,055.85	Professional		$456.72	$609.30	$1,055.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $454.10 / $544.91 / $656.51	Professional		$454.10	$544.91	$656.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $462.87 / $547.03 / $847.05	Facility		$462.87	$547.03	$847.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $836.24 / $1,123.33	Professional		$613.00	$836.24	$1,123.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $455.31 / $567.63 / $5,122.00	Facility		$455.31	$567.63	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $455.31 / $567.63 / $5,122.00	Professional		$455.31	$567.63	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.11 / $597.32 / $933.43	Professional		$368.11	$597.32	$933.43