Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.80 / $3,384.00 / $7,753.23	Facility		$648.80	$3,384.00	$7,753.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.63 / $542.60 / $992.67	Professional		$283.63	$542.60	$992.67
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 $275.97 / $352.91 / $589.14	Professional		$275.97	$352.91	$589.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $341.02 / $346.71 / $3,019.00	Professional		$341.02	$346.71	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.04 / $499.04 / $572.00	Facility		$499.04	$499.04	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.14 / $571.82 / $1,025.46	Professional		$303.14	$571.82	$1,025.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.20 / $731.43 / $864.42	Professional		$565.20	$731.43	$864.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $327.47 / $584.78 / $1,033.08	Facility		$327.47	$584.78	$1,033.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $794.00 / $1,048.29	Professional		$688.00	$794.00	$1,048.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $287.11 / $377.31 / $1,291.00	Facility		$287.11	$377.31	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $557.76 / $751.96 / $1,683.00	Professional		$557.76	$751.96	$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 $435.66 / $697.34 / $1,086.15	Professional		$435.66	$697.34	$1,086.15