Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.27 / $5,087.00 / $8,294.00	Facility		$452.27	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.30 / $433.06 / $565.83	Professional		$347.30	$433.06	$565.83
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 $379.06 / $490.46 / $810.87	Professional		$379.06	$490.46	$810.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $428.52 / $471.93 / $3,019.00	Professional		$428.52	$471.93	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $640.00	Facility		$469.44	$469.44	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.21 / $501.24 / $879.97	Professional		$386.21	$501.24	$879.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.18 / $511.64 / $604.66	Professional		$397.18	$511.64	$604.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $413.26 / $515.34 / $764.02	Facility		$413.26	$515.34	$764.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $533.00 / $788.00	Professional		$480.00	$533.00	$788.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $505.41 / $1,770.00	Facility		$379.03	$505.41	$1,770.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $379.03 / $505.41 / $1,770.00	Professional		$379.03	$505.41	$1,770.00
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 $285.02 / $479.49 / $754.33	Professional		$285.02	$479.49	$754.33