Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.02 / $3,633.00 / $8,920.00	Facility		$372.02	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.68 / $339.73 / $442.58	Professional		$297.68	$339.73	$442.58
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 $307.32 / $393.00 / $649.74	Professional		$307.32	$393.00	$649.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $379.68 / $379.68 / $5,146.00	Professional		$379.68	$379.68	$5,146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $380.47 / $1,700.00	Facility		$380.47	$380.47	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.36 / $434.09 / $722.47	Professional		$315.36	$434.09	$722.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.52 / $415.39 / $480.29	Professional		$324.52	$415.39	$480.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $339.73 / $435.26 / $607.75	Facility		$339.73	$435.26	$607.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $466.31 / $642.00	Professional		$409.00	$466.31	$642.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $324.52 / $426.61 / $1,551.11	Facility		$324.52	$426.61	$1,551.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $324.52 / $426.61 / $1,551.11	Professional		$324.52	$426.61	$1,551.11
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 $258.70 / $393.67 / $611.66	Professional		$258.70	$393.67	$611.66