Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $4,365.16 / $14,791.08	Facility		$302.00	$4,365.16	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $302.00	Professional		$173.78	$251.19	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $616.60	Professional		$245.47	$346.74	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $5,248.07	Professional		$691.83	$912.01	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $467.74	Professional		$316.23	$380.19	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $281.84 / $478.63	Facility		$29.51	$281.84	$478.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $316.23 / $446.68	Facility		$245.47	$316.23	$446.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $446.68	Professional		$245.47	$316.23	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $23,988.33	Facility		$6,456.54	$11,220.18	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $275.42 / $524.81	Professional		$19.50	$275.42	$524.81