Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.68 / $3,633.00 / $8,294.00	Facility		$705.68	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $375.36 / $486.06	Professional		$320.45	$375.36	$486.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.60 / $424.05 / $701.08	Professional		$331.60	$424.05	$701.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $368.80 / $408.39 / $3,448.00	Professional		$368.80	$408.39	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.47 / $405.47 / $572.00	Facility		$405.47	$405.47	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.37 / $463.56 / $759.94	Professional		$346.37	$463.56	$759.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.20 / $442.29 / $522.70	Professional		$343.20	$442.29	$522.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.36 / $464.04 / $690.29	Facility		$371.36	$464.04	$690.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $493.00 / $677.00	Professional		$418.00	$493.00	$677.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $344.61 / $448.88 / $1,631.45	Facility		$344.61	$448.88	$1,631.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $344.61 / $448.88 / $1,631.45	Professional		$344.61	$448.88	$1,631.45
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 $279.26 / $459.81 / $715.38	Professional		$279.26	$459.81	$715.38