Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.11 / $3,633.00 / $8,294.00	Facility		$616.11	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.35 / $399.47 / $708.30	Professional		$352.35	$399.47	$708.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.68 / $417.76 / $690.68	Professional		$326.68	$417.76	$690.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $391.19 / $438.34 / $5,113.00	Professional		$391.19	$438.34	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.65 / $405.65 / $572.00	Facility		$405.65	$405.65	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.90 / $502.65 / $783.83	Professional		$350.90	$502.65	$783.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.73 / $424.61 / $497.43	Professional		$331.73	$424.61	$497.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $362.73 / $504.00 / $792.00	Facility		$362.73	$504.00	$792.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $525.41 / $722.00	Professional		$460.00	$525.41	$722.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $359.04 / $511.68 / $1,683.40	Facility		$359.04	$511.68	$1,683.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $359.04 / $512.86 / $1,683.40	Professional		$359.04	$512.86	$1,683.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $13,741.00	Facility		$3,651.00	$6,870.00	$13,741.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.14 / $459.73 / $692.49	Professional		$293.14	$459.73	$692.49