Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.25 / $3,556.00 / $8,294.00	Facility		$401.25	$3,556.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.77 / $336.54 / $509.11	Professional		$243.77	$336.54	$509.11
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 $266.88 / $375.92 / $550.62	Professional		$266.88	$375.92	$550.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $298.02 / $3,426.00	Professional		$270.91	$298.02	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.24 / $475.24 / $475.24	Facility		$475.24	$475.24	$475.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.14 / $399.12 / $717.60	Professional		$274.14	$399.12	$717.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.93 / $452.85 / $539.11	Professional		$406.93	$452.85	$539.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $267.45 / $380.66 / $574.88	Facility		$267.45	$380.66	$574.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $474.00 / $554.00 / $778.00	Professional		$474.00	$554.00	$778.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $268.93 / $363.12 / $2,814.00	Facility		$268.93	$363.12	$2,814.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $360.33 / $485.14 / $2,814.00	Professional		$360.33	$485.14	$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 $295.91 / $414.27 / $698.38	Professional		$295.91	$414.27	$698.38