Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.67 / $3,116.00 / $8,294.00	Facility		$552.67	$3,116.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.33 / $489.35 / $841.73	Professional		$313.33	$489.35	$841.73
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 $317.98 / $492.27 / $737.78	Professional		$317.98	$492.27	$737.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $325.19 / $358.06 / $4,716.00	Professional		$325.19	$358.06	$4,716.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.74 / $563.74 / $563.74	Facility		$563.74	$563.74	$563.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.38 / $506.31 / $886.26	Professional		$320.38	$506.31	$886.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.92 / $618.16 / $735.91	Professional		$547.92	$618.16	$735.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $313.81 / $473.59 / $697.80	Facility		$313.81	$473.59	$697.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $573.00 / $652.00 / $975.00	Professional		$573.00	$652.00	$975.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $289.33 / $404.01 / $5,502.98	Facility		$289.33	$404.01	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $437.12 / $631.00 / $5,502.98	Professional		$437.12	$631.00	$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 $347.21 / $518.57 / $902.31	Professional		$347.21	$518.57	$902.31