Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.84 / $3,633.00 / $8,920.00	Facility		$371.84	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.39 / $501.61 / $787.52	Professional		$329.39	$501.61	$787.52
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 $312.24 / $399.29 / $547.62	Professional		$312.24	$399.29	$547.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.31 / $476.74 / $3,426.00	Professional		$363.31	$476.74	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $518.15 / $928.17	Professional		$369.00	$518.15	$928.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.87 / $537.44 / $662.85	Professional		$447.87	$537.44	$662.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.84 / $524.41 / $739.70	Facility		$371.84	$524.41	$739.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $74.56 / $91.49 / $123.26	Facility	AS	$74.56	$91.49	$123.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.00 / $623.00 / $905.25	Professional		$524.00	$623.00	$905.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $340.45 / $442.16 / $2,039.00	Facility		$340.45	$442.16	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $444.31 / $581.28 / $2,039.00	Professional		$444.31	$581.28	$2,039.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.69 / $587.01 / $1,006.23	Professional		$375.69	$587.01	$1,006.23