Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.48 / $2,848.00 / $7,275.00	Facility		$454.48	$2,848.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.81 / $386.68 / $597.97	Professional		$277.81	$386.68	$597.97
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 $277.61 / $359.20 / $593.86	Professional		$277.61	$359.20	$593.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $330.76 / $330.76 / $3,019.00	Professional		$330.76	$330.76	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.71 / $507.71 / $572.00	Facility		$507.71	$507.71	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $446.17 / $794.30	Professional		$299.20	$446.17	$794.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.71 / $515.98 / $609.79	Professional		$398.71	$515.98	$609.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $319.01 / $456.18 / $721.90	Facility		$319.01	$456.18	$721.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $486.00 / $564.00 / $756.00	Professional		$486.00	$564.00	$756.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $285.17 / $379.48 / $1,291.00	Facility		$285.17	$379.48	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $347.97 / $515.97 / $1,683.00	Professional		$347.97	$515.97	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.12 / $481.79 / $803.12	Professional		$301.12	$481.79	$803.12