Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.97 / $4,390.00 / $8,294.00	Facility		$476.97	$4,390.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.35 / $427.43 / $499.70	Professional		$327.35	$427.43	$499.70
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 $302.82 / $391.82 / $647.79	Professional		$302.82	$391.82	$647.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $357.07 / $357.07 / $4,117.00	Professional		$357.07	$357.07	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $555.37 / $640.00	Facility		$555.37	$555.37	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.52 / $483.99 / $859.54	Professional		$328.52	$483.99	$859.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.57 / $551.94 / $652.29	Professional		$428.57	$551.94	$652.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $343.26 / $494.51 / $779.20	Facility		$343.26	$494.51	$779.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $628.00 / $793.00	Professional		$539.00	$628.00	$793.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $296.93 / $419.67 / $1,532.23	Facility		$296.93	$419.67	$1,532.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $380.70 / $557.15 / $2,004.80	Professional		$380.70	$557.15	$2,004.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.99 / $531.46 / $829.42	Professional		$333.99	$531.46	$829.42