Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.96 / $3,633.00 / $8,920.00	Facility		$465.96	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.89 / $465.96 / $639.90	Professional		$343.89	$465.96	$639.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.52 / $489.04 / $719.24	Professional		$353.52	$489.04	$719.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $410.25 / $421.70 / $22,146.00	Professional		$410.25	$421.70	$22,146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.74 / $620.74 / $620.74	Facility		$620.74	$620.74	$620.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.05 / $550.67 / $988.77	Professional		$364.05	$550.67	$988.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.85 / $572.36 / $681.38	Professional		$511.85	$572.36	$681.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $346.08 / $515.42 / $852.71	Facility		$346.08	$515.42	$852.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $729.00 / $799.00 / $994.00	Professional		$729.00	$799.00	$994.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $382.60 / $528.03 / $2,251.00	Facility		$382.60	$528.03	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $486.52 / $727.10 / $2,498.00	Professional		$486.52	$727.10	$2,498.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.07 / $584.72 / $955.43	Professional		$437.07	$584.72	$955.43