Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.12 / $5,042.39 / $15,165.00	Facility		$436.12	$5,042.39	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.81 / $406.98 / $488.51	Professional		$352.81	$406.98	$488.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.17 / $776.55 / $3,241.00	Facility		$509.17	$776.55	$3,241.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $466.44	Professional		$0.02	$0.02	$466.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $620.00 / $1,171.80	Professional		$620.00	$620.00	$1,171.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.50 / $439.50 / $640.00	Facility		$439.50	$439.50	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $466.67 / $856.33	Professional		$311.13	$466.67	$856.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.38 / $474.09 / $560.07	Professional		$370.38	$474.09	$560.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $382.50 / $477.41 / $716.08	Facility		$382.50	$477.41	$716.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $677.76 / $909.07	Professional		$500.00	$677.76	$909.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $298.66 / $481.40 / $959.18	Facility		$298.66	$481.40	$959.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $298.66 / $481.40 / $959.18	Professional		$298.66	$481.40	$959.18
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,375.00	Facility		$231.00	$1,045.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.60 / $437.12 / $727.84	Professional		$280.60	$437.12	$727.84