Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.39 / $3,645.00 / $8,294.00	Facility		$767.39	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.81 / $484.47 / $630.41	Professional		$367.81	$484.47	$630.41
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 $423.41 / $547.84 / $905.74	Professional		$423.41	$547.84	$905.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.39 / $474.08 / $916.00	Professional		$398.39	$474.08	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.39 / $523.39 / $572.00	Facility		$523.39	$523.39	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.74 / $567.41 / $985.44	Professional		$417.74	$567.41	$985.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.64 / $569.55 / $673.11	Professional		$442.64	$569.55	$673.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $466.89 / $590.36 / $886.58	Facility		$466.89	$590.36	$886.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $598.00 / $857.00	Professional		$463.00	$598.00	$857.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $421.87 / $572.14 / $2,115.58	Facility		$421.87	$572.14	$2,115.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $421.87 / $575.45 / $2,115.58	Professional		$421.87	$575.45	$2,115.58
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.47 / $553.29 / $871.38	Professional		$330.47	$553.29	$871.38