Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.19 / $3,226.00 / $8,294.00	Facility		$479.19	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.99 / $427.99 / $587.78	Professional		$319.99	$427.99	$587.78
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 $301.17 / $385.14 / $636.75	Professional		$301.17	$385.14	$636.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $366.74 / $369.74 / $3,019.00	Professional		$366.74	$369.74	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.65 / $565.65 / $572.00	Facility		$565.65	$565.65	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.03 / $508.10 / $903.55	Professional		$343.03	$508.10	$903.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.41 / $567.23 / $670.36	Professional		$439.41	$567.23	$670.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $356.45 / $533.96 / $804.92	Facility		$356.45	$533.96	$804.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $580.00 / $655.00 / $883.00	Professional		$580.00	$655.00	$883.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $322.14 / $447.16 / $1,603.14	Facility		$322.14	$447.16	$1,603.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $437.35 / $603.90 / $2,068.08	Professional		$437.35	$603.90	$2,068.08
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 $365.91 / $574.82 / $927.87	Professional		$365.91	$574.82	$927.87