Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.07 / $3,226.00 / $8,294.00	Facility		$321.07	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.33 / $347.79 / $444.97	Professional		$269.33	$347.79	$444.97
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 $241.25 / $308.51 / $510.05	Professional		$241.25	$308.51	$510.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.45 / $321.41 / $4,117.00	Professional		$295.45	$321.41	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.75 / $441.75 / $640.00	Facility		$441.75	$441.75	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.93 / $409.16 / $738.00	Professional		$277.93	$409.16	$738.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.63 / $462.48 / $546.57	Professional		$358.63	$462.48	$546.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $306.47 / $444.97 / $668.28	Facility		$306.47	$444.97	$668.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $470.00 / $552.00 / $721.00	Professional		$470.00	$552.00	$721.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $259.58 / $360.30 / $1,317.41	Facility		$259.58	$360.30	$1,317.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $348.19 / $482.18 / $1,770.00	Professional		$348.19	$482.18	$1,770.00
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 $281.43 / $447.26 / $735.69	Professional		$281.43	$447.26	$735.69