Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.95 / $3,633.00 / $8,294.00	Facility		$367.95	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.80 / $459.66 / $625.34	Professional		$316.80	$459.66	$625.34
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 $319.56 / $494.72 / $747.11	Professional		$319.56	$494.72	$747.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $328.74 / $359.98 / $4,716.00	Professional		$328.74	$359.98	$4,716.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.46 / $560.46 / $560.46	Facility		$560.46	$560.46	$560.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.08 / $510.78 / $893.74	Professional		$322.08	$510.78	$893.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.15 / $617.82 / $735.50	Professional		$548.15	$617.82	$735.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.80 / $479.22 / $706.08	Facility		$316.80	$479.22	$706.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $668.00 / $988.00	Professional		$585.00	$668.00	$988.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $294.26 / $410.52 / $5,502.98	Facility		$294.26	$410.52	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $442.50 / $642.61 / $5,502.98	Professional		$442.50	$642.61	$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 $381.54 / $527.48 / $923.90	Professional		$381.54	$527.48	$923.90