Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.98 / $3,645.00 / $8,294.00	Facility		$596.98	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.64 / $364.97 / $471.33	Professional		$302.64	$364.97	$471.33
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 $318.33 / $412.26 / $681.58	Professional		$318.33	$412.26	$681.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $357.01 / $397.57 / $3,448.00	Professional		$357.01	$397.57	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.30 / $394.30 / $572.00	Facility		$394.30	$394.30	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.69 / $437.87 / $737.87	Professional		$332.69	$437.87	$737.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $430.69 / $509.00	Professional		$333.74	$430.69	$509.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $350.83 / $438.17 / $640.10	Facility		$350.83	$438.17	$640.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $460.00 / $656.00	Professional		$402.00	$460.00	$656.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $311.50 / $420.44 / $1,467.07	Facility		$311.50	$420.44	$1,467.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $420.44 / $1,467.07	Professional		$311.50	$420.44	$1,467.07
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 $252.30 / $417.18 / $657.85	Professional		$252.30	$417.18	$657.85