Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.23 / $3,633.00 / $8,294.00	Facility		$339.23	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.05 / $427.89 / $590.00	Professional		$283.05	$427.89	$590.00
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 $287.20 / $464.98 / $706.04	Professional		$287.20	$464.98	$706.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.98 / $259.98 / $2,413.00	Professional		$259.98	$259.98	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.16 / $509.16 / $509.16	Facility		$509.16	$509.16	$509.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.29 / $468.08 / $816.39	Professional		$303.29	$468.08	$816.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.73 / $586.37 / $698.06	Professional		$521.73	$586.37	$698.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $285.87 / $451.15 / $653.05	Facility		$285.87	$451.15	$653.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $620.00 / $938.00	Professional		$555.00	$620.00	$938.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $280.63 / $379.23 / $1,308.51	Facility		$280.63	$379.23	$1,308.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $387.33 / $603.50 / $1,380.00	Professional		$387.33	$603.50	$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 $323.23 / $476.93 / $864.43	Professional		$323.23	$476.93	$864.43