Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.88 / $3,226.00 / $7,275.00	Facility		$542.88	$3,226.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.70 / $481.17 / $842.25	Professional		$291.70	$481.17	$842.25
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 $304.68 / $394.57 / $652.34	Professional		$304.68	$394.57	$652.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $326.98 / $359.79 / $3,019.00	Professional		$326.98	$359.79	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.45 / $560.45 / $572.00	Facility		$560.45	$560.45	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.88 / $491.37 / $922.22	Professional		$264.88	$491.37	$922.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.14 / $634.29 / $749.62	Professional		$490.14	$634.29	$749.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $486.30 / $806.61	Facility		$270.00	$486.30	$806.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $606.00 / $929.00	Professional		$370.00	$606.00	$929.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $394.99 / $1,425.14	Facility		$206.00	$394.99	$1,425.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $279.08 / $604.82 / $1,683.00	Professional		$279.08	$604.82	$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 $238.60 / $482.44 / $952.81	Professional		$238.60	$482.44	$952.81