Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.51 / $5,087.00 / $8,294.00	Facility		$408.51	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.31 / $375.25 / $706.09	Professional		$301.31	$375.25	$706.09
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 $331.68 / $429.16 / $709.53	Professional		$331.68	$429.16	$709.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $361.46 / $407.19 / $2,012.00	Professional		$361.46	$407.19	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.60 / $410.60 / $640.00	Facility		$410.60	$410.60	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.80 / $445.87 / $792.67	Professional		$343.80	$445.87	$792.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.03 / $441.64 / $519.70	Professional		$345.03	$441.64	$519.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $370.58 / $474.88 / $722.09	Facility		$370.58	$474.88	$722.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $490.00 / $673.00	Professional		$425.00	$490.00	$673.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $346.52 / $448.62 / $1,291.00	Facility		$346.52	$448.62	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $346.52 / $448.62 / $1,291.00	Professional		$346.52	$448.62	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,761.00 / $3,880.00	Facility		$1,066.00	$1,761.00	$3,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.85 / $437.68 / $671.10	Professional		$278.85	$437.68	$671.10