Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.41 / $3,040.00 / $6,825.00	Facility		$564.41	$3,040.00	$6,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.77 / $506.47 / $867.76	Professional		$331.77	$506.47	$867.76
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 $308.86 / $394.97 / $653.00	Professional		$308.86	$394.97	$653.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $327.52 / $360.05 / $3,019.00	Professional		$327.52	$360.05	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.73 / $562.73 / $572.00	Facility		$562.73	$562.73	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.31 / $534.13 / $953.78	Professional		$337.31	$534.13	$953.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.45 / $652.82 / $771.51	Professional		$504.45	$652.82	$771.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $344.66 / $564.41 / $870.70	Facility		$344.66	$564.41	$870.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $607.00 / $679.00 / $960.00	Professional		$607.00	$679.00	$960.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $319.62 / $425.25 / $1,429.85	Facility		$319.62	$425.25	$1,429.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $467.57 / $652.24 / $1,683.00	Professional		$467.57	$652.24	$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 $366.85 / $590.71 / $986.22	Professional		$366.85	$590.71	$986.22