Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.04 / $3,633.00 / $8,003.00	Facility		$444.04	$3,633.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.40 / $395.25 / $754.86	Professional		$252.40	$395.25	$754.86
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 $244.47 / $392.14 / $595.45	Professional		$244.47	$392.14	$595.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $283.63 / $283.63 / $1,013.00	Professional		$283.63	$283.63	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.87 / $434.87 / $434.87	Facility		$434.87	$434.87	$434.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.73 / $434.12 / $718.13	Professional		$269.73	$434.12	$718.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.82 / $493.79 / $587.85	Professional		$441.82	$493.79	$587.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $249.24 / $400.59 / $592.09	Facility		$249.24	$400.59	$592.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $600.89 / $848.00	Professional		$502.00	$600.89	$848.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $365.35 / $1,253.29	Facility		$268.14	$365.35	$1,253.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $379.34 / $535.41 / $1,380.00	Professional		$379.34	$535.41	$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 $336.71 / $448.73 / $764.61	Professional		$336.71	$448.73	$764.61