Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.97 / $1,719.00 / $6,827.70	Facility		$475.97	$1,719.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.84 / $443.99 / $725.32	Professional		$371.84	$443.99	$725.32
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 $385.38 / $492.82 / $814.77	Professional		$385.38	$492.82	$814.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $438.63 / $475.02 / $2,012.00	Professional		$438.63	$475.02	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $695.28	Facility		$420.00	$420.00	$695.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.30 / $524.72 / $955.88	Professional		$401.30	$524.72	$955.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.09 / $559.52 / $661.25	Professional		$433.09	$559.52	$661.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.40 / $524.72 / $797.17	Facility		$398.40	$524.72	$797.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $527.00 / $592.00 / $841.00	Professional		$527.00	$592.00	$841.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $398.40 / $506.12 / $1,291.00	Facility		$398.40	$506.12	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $431.05 / $547.26 / $1,291.00	Professional		$431.05	$547.26	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $500.98 / $837.28	Professional		$331.00	$500.98	$837.28