Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.21 / $3,633.00 / $8,003.00	Facility		$416.21	$3,633.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.41 / $473.17 / $861.52	Professional		$325.41	$473.17	$861.52
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 $317.69 / $472.84 / $695.31	Professional		$317.69	$472.84	$695.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.90 / $375.11 / $2,413.00	Professional		$352.90	$375.11	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $564.00 / $564.00	Facility		$564.00	$564.00	$564.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.40 / $534.84 / $921.03	Professional		$348.40	$534.84	$921.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.03 / $573.76 / $683.05	Professional		$516.03	$573.76	$683.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $327.69 / $514.24 / $780.30	Facility		$327.69	$514.24	$780.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $713.00 / $975.00	Professional		$625.00	$713.00	$975.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $348.20 / $499.10 / $1,380.00	Facility		$348.20	$499.10	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $485.49 / $670.84 / $1,380.00	Professional		$485.49	$670.84	$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 $410.78 / $552.74 / $920.62	Professional		$410.78	$552.74	$920.62