Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.32 / $2,190.00 / $8,294.00	Facility		$390.32	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $371.66 / $575.16	Professional		$305.23	$371.66	$575.16
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 $316.79 / $409.90 / $677.68	Professional		$316.79	$409.90	$677.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.34 / $395.03 / $2,012.00	Professional		$363.34	$395.03	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $580.91	Facility		$420.00	$420.00	$580.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.25 / $440.08 / $786.63	Professional		$335.25	$440.08	$786.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.59 / $463.58 / $547.87	Professional		$358.59	$463.58	$547.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $332.49 / $435.63 / $659.64	Facility		$332.49	$435.63	$659.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $433.00 / $487.00 / $695.00	Professional		$433.00	$487.00	$695.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $330.06 / $417.47 / $1,228.52	Facility		$330.06	$417.47	$1,228.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $344.38 / $442.67 / $1,291.00	Professional		$344.38	$442.67	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.27 / $442.36 / $671.73	Professional		$272.27	$442.36	$671.73