Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.91 / $2,561.00 / $8,294.00	Facility		$455.91	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.85 / $441.12 / $578.70	Professional		$385.85	$441.12	$578.70
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 $379.85 / $485.75 / $803.09	Professional		$379.85	$485.75	$803.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.22 / $481.32 / $938.57	Professional		$467.22	$481.32	$938.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $460.80	Facility		$420.00	$420.00	$460.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.98 / $531.29 / $884.25	Professional		$389.98	$531.29	$884.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.44 / $499.82 / $590.69	Professional		$390.44	$499.82	$590.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $423.43 / $539.30 / $829.60	Facility		$423.43	$539.30	$829.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $502.16 / $614.80 / $883.00	Professional		$502.16	$614.80	$883.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $381.94 / $540.72 / $1,770.00	Facility		$381.94	$540.72	$1,770.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $381.94 / $540.72 / $1,770.00	Professional		$381.94	$540.72	$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 $314.08 / $490.30 / $801.57	Professional		$314.08	$490.30	$801.57