Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.78 / $3,633.00 / $8,294.00	Facility		$736.78	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.83 / $441.48 / $645.24	Professional		$369.83	$441.48	$645.24
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 $400.14 / $511.69 / $845.97	Professional		$400.14	$511.69	$845.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $444.67 / $490.61 / $3,019.00	Professional		$444.67	$490.61	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.41 / $485.41 / $572.00	Facility		$485.41	$485.41	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.82 / $601.10 / $909.29	Professional		$415.82	$601.10	$909.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.69 / $520.70 / $615.37	Professional		$405.69	$520.70	$615.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $440.35 / $552.67 / $849.17	Facility		$440.35	$552.67	$849.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $602.44 / $805.00	Professional		$511.00	$602.44	$805.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $414.08 / $557.79 / $1,807.94	Facility		$414.08	$557.79	$1,807.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $414.08 / $557.79 / $1,807.94	Professional		$414.08	$557.79	$1,807.94
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 $341.19 / $550.16 / $887.00	Professional		$341.19	$550.16	$887.00