Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.52 / $3,633.00 / $8,920.00	Facility		$415.52	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.74 / $415.52 / $532.79	Professional		$330.74	$415.52	$532.79
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 $339.56 / $462.43 / $667.16	Professional		$339.56	$462.43	$667.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $392.14 / $404.38 / $974.00	Professional		$392.14	$404.38	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.12 / $599.12 / $599.12	Facility		$599.12	$599.12	$599.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.64 / $491.79 / $883.61	Professional		$352.64	$491.79	$883.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.12 / $531.20 / $632.38	Professional		$476.12	$531.20	$632.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $329.27 / $466.37 / $706.20	Facility		$329.27	$466.37	$706.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $677.00 / $854.00	Professional		$590.00	$677.00	$854.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $344.04 / $467.84 / $1,380.00	Facility		$344.04	$467.84	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $421.39 / $590.60 / $1,380.00	Professional		$421.39	$590.60	$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 $372.94 / $498.51 / $848.10	Professional		$372.94	$498.51	$848.10