Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.00 / $4,771.00 / $8,920.00	Facility		$397.00	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.28 / $392.65 / $444.68	Professional		$339.28	$392.65	$444.68
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 $71.69 / $91.68 / $151.57	Professional		$71.69	$91.68	$151.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $305.31 / $305.31 / $577.04	Professional		$305.31	$305.31	$577.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.74 / $417.74 / $640.00	Facility		$417.74	$417.74	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.42 / $1,646.42 / $1,646.42	Professional		$1,646.42	$1,646.42	$1,646.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.20 / $477.53 / $552.34	Professional		$373.20	$477.53	$552.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $328.49 / $420.82 / $674.90	Facility		$328.49	$420.82	$674.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $577.19 / $818.33	Professional		$480.00	$577.19	$818.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $354.32 / $469.18 / $1,686.89	Facility		$354.32	$469.18	$1,686.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $354.32 / $469.18 / $1,686.89	Professional		$354.32	$469.18	$1,686.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.75 / $461.84 / $729.32	Professional		$300.75	$461.84	$729.32