Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.50 / $3,633.00 / $10,767.00	Facility		$235.50	$3,633.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $386.59 / $634.64	Professional		$212.00	$386.59	$634.64
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 $207.48 / $482.88 / $874.77	Professional		$207.48	$482.88	$874.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $221.55 / $234.80 / $4,117.00	Professional		$221.55	$234.80	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.80 / $355.80 / $640.00	Facility		$355.80	$355.80	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.16 / $413.82 / $905.40	Professional		$215.16	$413.82	$905.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.16 / $688.69 / $813.90	Professional		$532.16	$688.69	$813.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $230.02 / $471.28 / $827.20	Facility		$230.02	$471.28	$827.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $587.00 / $1,024.49	Professional		$496.00	$587.00	$1,024.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $264.95 / $1,291.00	Facility		$194.83	$264.95	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $377.20 / $619.61 / $1,683.00	Professional		$377.20	$619.61	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.77 / $537.77 / $945.40	Professional		$317.77	$537.77	$945.40