Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.07 / $5,091.00 / $11,491.58	Facility		$618.07	$5,091.00	$11,491.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.37 / $458.55 / $658.45	Professional		$338.37	$458.55	$658.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.01 / $402.83 / $672.48	Professional		$315.01	$402.83	$672.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $376.73 / $414.40 / $4,117.00	Professional		$376.73	$414.40	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.06 / $390.06 / $640.00	Facility		$390.06	$390.06	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.15 / $603.99 / $882.45	Professional		$337.15	$603.99	$882.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.29 / $413.81 / $480.21	Professional		$323.29	$413.81	$480.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $350.39 / $501.06 / $955.64	Facility		$350.39	$501.06	$955.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $443.00 / $649.00 / $964.00	Professional		$443.00	$649.00	$964.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $362.53 / $663.59 / $1,643.30	Facility		$362.53	$663.59	$1,643.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $362.53 / $663.59 / $1,643.30	Professional		$362.53	$663.59	$1,643.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.22 / $518.44 / $800.10	Professional		$287.22	$518.44	$800.10