Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.03 / $3,116.00 / $8,294.00	Facility		$355.03	$3,116.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $496.52 / $849.76	Professional		$307.58	$496.52	$849.76
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 $296.57 / $379.25 / $627.01	Professional		$296.57	$379.25	$627.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $313.56 / $346.25 / $3,019.00	Professional		$313.56	$346.25	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.62 / $539.62 / $572.00	Facility		$539.62	$539.62	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.28 / $520.58 / $932.19	Professional		$331.28	$520.58	$932.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.09 / $638.12 / $754.14	Professional		$493.09	$638.12	$754.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.90 / $550.47 / $890.68	Facility		$338.90	$550.47	$890.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $486.00 / $647.77 / $937.00	Professional		$486.00	$647.77	$937.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $311.33 / $422.17 / $1,372.91	Facility		$311.33	$422.17	$1,372.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $372.87 / $625.38 / $1,683.00	Professional		$372.87	$625.38	$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 $328.85 / $539.04 / $963.89	Professional		$328.85	$539.04	$963.89