Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.97 / $3,645.00 / $8,294.00	Facility		$450.97	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $273.52 / $365.99	Professional		$246.56	$273.52	$365.99
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 $241.86 / $309.29 / $511.34	Professional		$241.86	$309.29	$511.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $287.43 / $298.05 / $3,019.00	Professional		$287.43	$298.05	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.49 / $293.49 / $572.00	Facility		$293.49	$293.49	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.36 / $347.91 / $563.91	Professional		$250.36	$347.91	$563.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.12 / $320.23 / $378.46	Professional		$249.12	$320.23	$378.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $334.17 / $500.56	Facility		$257.64	$334.17	$500.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $368.00 / $522.00	Professional		$323.00	$368.00	$522.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $241.76 / $329.03 / $1,285.00	Facility		$241.76	$329.03	$1,285.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $241.76 / $329.03 / $1,285.00	Professional		$241.76	$329.03	$1,285.00
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 $200.03 / $325.24 / $501.46	Professional		$200.03	$325.24	$501.46