Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.53 / $4,347.00 / $8,207.00	Facility		$886.53	$4,347.00	$8,207.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $379.08 / $731.29	Professional		$321.75	$379.08	$731.29
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 $316.55 / $419.72 / $693.92	Professional		$316.55	$419.72	$693.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $373.98 / $406.25 / $3,019.00	Professional		$373.98	$406.25	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.37 / $401.37 / $640.00	Facility		$401.37	$401.37	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.90 / $473.83 / $751.94	Professional		$342.90	$473.83	$751.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.61 / $440.02 / $520.03	Professional		$340.61	$440.02	$520.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $361.85 / $448.01 / $693.72	Facility		$361.85	$448.01	$693.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $484.10 / $662.00	Professional		$417.00	$484.10	$662.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $341.21 / $451.42 / $1,590.52	Facility		$341.21	$451.42	$1,590.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $341.21 / $451.42 / $1,590.52	Professional		$341.21	$451.42	$1,590.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.95 / $429.02 / $659.29	Professional		$268.95	$429.02	$659.29