Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.15 / $4,032.00 / $8,920.00	Facility		$451.15	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.02 / $397.48 / $451.15	Professional		$317.02	$397.48	$451.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $411.51 / $563.95	Professional		$327.50	$411.51	$563.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $191.20 / $2,315.00	Professional		$132.78	$191.20	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.81 / $549.30 / $1,208.64	Professional		$328.81	$549.30	$1,208.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.77 / $384.94 / $466.51	Professional		$320.77	$384.94	$466.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.17 / $496.20 / $687.10	Facility		$331.17	$496.20	$687.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $444.75 / $586.00 / $755.78	Professional		$444.75	$586.00	$755.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $376.27 / $640.88 / $2,755.00	Facility		$376.27	$640.88	$2,755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $376.27 / $640.88 / $2,755.00	Professional		$376.27	$640.88	$2,755.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.64 / $495.61 / $727.66	Professional		$275.64	$495.61	$727.66