Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.59 / $2,840.00 / $8,294.00	Facility		$395.59	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.49 / $355.24 / $619.62	Professional		$248.49	$355.24	$619.62
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 $243.09 / $310.86 / $513.94	Professional		$243.09	$310.86	$513.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $256.60 / $284.83 / $3,019.00	Professional		$256.60	$284.83	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.64 / $441.64 / $640.00	Facility		$441.64	$441.64	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.10 / $390.36 / $701.64	Professional		$271.10	$390.36	$701.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.90 / $464.45 / $548.90	Professional		$358.90	$464.45	$548.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.88 / $408.48 / $643.82	Facility		$288.88	$408.48	$643.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $492.00 / $669.00	Professional		$431.00	$492.00	$669.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $255.31 / $333.05 / $1,171.00	Facility		$255.31	$333.05	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $333.05 / $457.38 / $1,284.70	Professional		$333.05	$457.38	$1,284.70
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.51 / $437.03 / $707.91	Professional		$273.51	$437.03	$707.91