Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.59 / $3,633.00 / $9,539.00	Facility		$392.59	$3,633.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.67 / $364.97 / $590.61	Professional		$287.67	$364.97	$590.61
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 $302.43 / $402.86 / $568.41	Professional		$302.43	$402.86	$568.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $308.62 / $338.22 / $3,426.00	Professional		$308.62	$338.22	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.32 / $540.32 / $540.32	Facility		$540.32	$540.32	$540.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.86 / $415.13 / $729.56	Professional		$309.86	$415.13	$729.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.99 / $448.68 / $534.14	Professional		$404.99	$448.68	$534.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.86 / $405.42 / $571.83	Facility		$300.86	$405.42	$571.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $541.00 / $761.00	Professional		$468.00	$541.00	$761.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $304.83 / $403.90 / $5,502.98	Facility		$304.83	$403.90	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $475.98 / $5,502.98	Professional		$350.00	$475.98	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $5,979.00 / $13,521.00	Facility		$3,651.00	$5,979.00	$13,521.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.60 / $402.04 / $695.89	Professional		$282.60	$402.04	$695.89