Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.45 / $3,384.00 / $7,275.00	Facility		$339.45	$3,384.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.94 / $324.45 / $586.75	Professional		$240.94	$324.45	$586.75
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 $255.78 / $344.37 / $485.88	Professional		$255.78	$344.37	$485.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $285.88 / $3,774.00	Professional		$263.08	$285.88	$3,774.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.76 / $457.76 / $457.76	Facility		$457.76	$457.76	$457.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.08 / $351.22 / $624.79	Professional		$258.08	$351.22	$624.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.77 / $383.55 / $456.61	Professional		$345.77	$383.55	$456.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.68 / $349.64 / $491.04	Facility		$257.68	$349.64	$491.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $467.00 / $650.00	Professional		$400.00	$467.00	$650.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $256.42 / $341.80 / $5,502.98	Facility		$256.42	$341.80	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $304.43 / $407.87 / $5,502.98	Professional		$304.43	$407.87	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.98 / $347.54 / $601.55	Professional		$244.98	$347.54	$601.55