Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.09 / $3,801.00 / $8,294.00	Facility		$594.09	$3,801.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.41 / $380.83 / $644.25	Professional		$325.41	$380.83	$644.25
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 $316.24 / $404.40 / $668.59	Professional		$316.24	$404.40	$668.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $334.93 / $368.19 / $3,714.00	Professional		$334.93	$368.19	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $385.74 / $640.00	Facility		$385.74	$385.74	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.22 / $453.55 / $738.35	Professional		$334.22	$453.55	$738.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.06 / $417.68 / $493.62	Professional		$326.06	$417.68	$493.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $356.68 / $445.95 / $639.28	Facility		$356.68	$445.95	$639.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $422.00 / $478.00 / $702.10	Professional		$422.00	$478.00	$702.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $330.34 / $434.65 / $1,261.75	Facility		$330.34	$434.65	$1,261.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $330.34 / $434.65 / $1,261.75	Professional		$330.34	$434.65	$1,261.75
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 $275.06 / $426.60 / $639.30	Professional		$275.06	$426.60	$639.30