Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.49 / $3,991.00 / $8,294.00	Facility		$326.49	$3,991.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.12 / $319.45 / $528.91	Professional		$271.12	$319.45	$528.91
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 $257.26 / $332.87 / $550.33	Professional		$257.26	$332.87	$550.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $311.99 / $322.17 / $2,012.00	Professional		$311.99	$322.17	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.02 / $480.02 / $640.00	Facility		$480.02	$480.02	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.31 / $402.08 / $693.21	Professional		$289.31	$402.08	$693.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.75 / $392.64 / $459.00	Professional		$306.75	$392.64	$459.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $297.50 / $402.05 / $596.82	Facility		$297.50	$402.05	$596.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $456.00 / $647.00	Professional		$402.00	$456.00	$647.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $277.85 / $376.23 / $1,354.43	Facility		$277.85	$376.23	$1,354.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $313.75 / $415.74 / $1,488.58	Professional		$313.75	$415.74	$1,488.58
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 $255.72 / $409.85 / $624.34	Professional		$255.72	$409.85	$624.34