Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.21 / $3,633.00 / $8,294.00	Facility		$349.21	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.96 / $296.08 / $433.02	Professional		$214.96	$296.08	$433.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.63 / $323.50 / $473.65	Professional		$225.63	$323.50	$473.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $252.16 / $3,426.00	Professional		$228.45	$252.16	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.81 / $400.81 / $400.81	Facility		$400.81	$400.81	$400.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.75 / $331.83 / $619.48	Professional		$225.75	$331.83	$619.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.48 / $392.69 / $467.49	Professional		$352.48	$392.69	$467.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $225.91 / $321.44 / $480.31	Facility		$225.91	$321.44	$480.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $472.00 / $628.00	Professional		$395.00	$472.00	$628.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $304.58 / $2,814.00	Facility		$214.08	$304.58	$2,814.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $299.10 / $413.43 / $2,814.00	Professional		$299.10	$413.43	$2,814.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.66 / $343.19 / $599.87	Professional		$249.66	$343.19	$599.87