Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.35 / $3,633.00 / $8,294.00	Facility		$576.35	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.33 / $458.69 / $583.02	Professional		$369.33	$458.69	$583.02
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 $334.36 / $427.58 / $706.91	Professional		$334.36	$427.58	$706.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $408.24 / $464.97 / $4,039.00	Professional		$408.24	$464.97	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $614.32	Facility		$572.00	$572.00	$614.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.50 / $555.13 / $980.05	Professional		$373.50	$555.13	$980.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.40 / $570.61 / $674.36	Professional		$445.40	$570.61	$674.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $401.41 / $579.29 / $868.35	Facility		$401.41	$579.29	$868.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $605.00 / $716.00 / $918.00	Professional		$605.00	$716.00	$918.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $349.86 / $502.24 / $1,770.00	Facility		$349.86	$502.24	$1,770.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $445.40 / $625.05 / $2,150.28	Professional		$445.40	$625.05	$2,150.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,979.00 / $13,217.00	Facility		$3,510.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.30 / $601.12 / $1,001.86	Professional		$383.30	$601.12	$1,001.86