Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.32 / $3,988.00 / $8,294.00	Facility		$551.32	$3,988.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.66 / $451.60 / $638.09	Professional		$292.66	$451.60	$638.09
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 $307.94 / $393.79 / $651.04	Professional		$307.94	$393.79	$651.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $361.23 / $361.23 / $4,117.00	Professional		$361.23	$361.23	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.65 / $557.65 / $640.00	Facility		$557.65	$557.65	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.57 / $516.07 / $944.75	Professional		$323.57	$516.07	$944.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.96 / $634.05 / $749.35	Professional		$489.96	$634.05	$749.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $344.51 / $551.32 / $894.08	Facility		$344.51	$551.32	$894.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $685.65 / $952.00	Professional		$604.00	$685.65	$952.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $301.04 / $401.56 / $1,406.53	Facility		$301.04	$401.56	$1,406.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $424.28 / $629.23 / $1,683.00	Professional		$424.28	$629.23	$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 $375.41 / $591.60 / $984.02	Professional		$375.41	$591.60	$984.02