Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.79 / $4,691.00 / $8,294.00	Facility		$357.79	$4,691.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.48 / $435.57 / $614.21	Professional		$330.48	$435.57	$614.21
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 $330.99 / $484.90 / $713.05	Professional		$330.99	$484.90	$713.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $336.55 / $916.00	Professional		$336.55	$336.55	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.78 / $591.78 / $591.78	Facility		$591.78	$591.78	$591.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $493.74 / $907.28	Professional		$338.84	$493.74	$907.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.21 / $592.41 / $705.26	Professional		$530.21	$592.41	$705.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $330.50 / $470.25 / $661.52	Facility		$330.50	$470.25	$661.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $603.00 / $651.00 / $999.93	Professional		$603.00	$651.00	$999.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $337.68 / $462.34 / $1,380.00	Facility		$337.68	$462.34	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $458.26 / $612.04 / $1,380.00	Professional		$458.26	$612.04	$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 $342.77 / $499.29 / $902.66	Professional		$342.77	$499.29	$902.66