Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.76 / $3,226.00 / $8,294.00	Facility		$450.76	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.72 / $370.66 / $646.69	Professional		$246.72	$370.66	$646.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.79 / $414.14 / $608.98	Professional		$268.79	$414.14	$608.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $241.66 / $241.66 / $2,413.00	Professional		$241.66	$241.66	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.57 / $478.57 / $478.57	Facility		$478.57	$478.57	$478.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.60 / $432.33 / $767.49	Professional		$284.60	$432.33	$767.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $509.04 / $606.00	Professional		$453.31	$509.04	$606.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $267.44 / $401.99 / $597.29	Facility		$267.44	$401.99	$597.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $519.00 / $575.00 / $838.00	Professional		$519.00	$575.00	$838.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $268.85 / $357.54 / $1,263.41	Facility		$268.85	$357.54	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $384.25 / $532.54 / $1,380.00	Professional		$384.25	$532.54	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.74 / $445.35 / $767.54	Professional		$327.74	$445.35	$767.54