Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.82 / $3,645.00 / $8,294.00	Facility		$647.82	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.75 / $390.93 / $495.31	Professional		$335.75	$390.93	$495.31
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 $348.81 / $446.06 / $737.47	Professional		$348.81	$446.06	$737.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $401.25 / $429.43 / $3,019.00	Professional		$401.25	$429.43	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $426.66 / $572.00	Facility		$426.66	$426.66	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.76 / $518.96 / $795.24	Professional		$363.76	$518.96	$795.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.11 / $465.27 / $549.86	Professional		$361.11	$465.27	$549.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $373.16 / $472.90 / $725.52	Facility		$373.16	$472.90	$725.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $521.00 / $698.00	Professional		$450.00	$521.00	$698.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $361.66 / $490.59 / $1,647.01	Facility		$361.66	$490.59	$1,647.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $361.66 / $490.59 / $1,647.01	Professional		$361.66	$490.59	$1,647.01
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 $289.83 / $492.95 / $766.69	Professional		$289.83	$492.95	$766.69