Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.05 / $2,561.00 / $8,294.00	Facility		$601.05	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $367.75 / $525.75	Professional		$307.07	$367.75	$525.75
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 $320.16 / $414.62 / $685.49	Professional		$320.16	$414.62	$685.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $372.75 / $410.03 / $3,293.00	Professional		$372.75	$410.03	$3,293.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.91 / $396.91 / $420.00	Facility		$396.91	$396.91	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.07 / $445.67 / $770.74	Professional		$337.07	$445.67	$770.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.92 / $433.47 / $512.28	Professional		$335.92	$433.47	$512.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $339.79 / $441.29 / $668.46	Facility		$339.79	$441.29	$668.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $471.00 / $662.00	Professional		$413.00	$471.00	$662.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $312.86 / $431.48 / $1,477.63	Facility		$312.86	$431.48	$1,477.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $312.86 / $431.48 / $1,477.63	Professional		$312.86	$431.48	$1,477.63
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 $257.95 / $408.74 / $643.48	Professional		$257.95	$408.74	$643.48