Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.84 / $5,360.00 / $9,539.00	Facility		$449.84	$5,360.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.32 / $419.27 / $556.78	Professional		$376.32	$419.27	$556.78
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 $368.43 / $476.71 / $788.14	Professional		$368.43	$476.71	$788.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $428.83 / $454.76 / $910.00	Professional		$428.83	$454.76	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.16 / $453.16 / $776.00	Facility		$453.16	$453.16	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.96 / $517.90 / $854.20	Professional		$384.96	$517.90	$854.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.96 / $492.75 / $578.41	Professional		$384.96	$492.75	$578.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $385.91 / $524.50 / $759.57	Facility		$385.91	$524.50	$759.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $491.00 / $559.00 / $781.00	Professional		$491.00	$559.00	$781.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $384.96 / $513.04 / $1,683.00	Facility		$384.96	$513.04	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $384.96 / $513.04 / $1,683.00	Professional		$384.96	$513.04	$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 $314.26 / $484.98 / $775.30	Professional		$314.26	$484.98	$775.30