Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.14 / $3,633.00 / $8,294.00	Facility		$396.14	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.04 / $369.62 / $707.77	Professional		$240.04	$369.62	$707.77
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 $233.59 / $366.02 / $555.78	Professional		$233.59	$366.02	$555.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.22 / $245.22 / $2,413.00	Professional		$245.22	$245.22	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $412.80 / $412.80	Facility		$412.80	$412.80	$412.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.92 / $398.64 / $683.56	Professional		$258.92	$398.64	$683.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.53 / $460.92 / $548.71	Professional		$411.53	$460.92	$548.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.73 / $370.44 / $546.79	Facility		$235.73	$370.44	$546.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $466.00 / $561.00 / $789.00	Professional		$466.00	$561.00	$789.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $249.71 / $346.17 / $1,192.95	Facility		$249.71	$346.17	$1,192.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $352.39 / $493.73 / $1,380.00	Professional		$352.39	$493.73	$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 $307.57 / $411.78 / $709.87	Professional		$307.57	$411.78	$709.87