Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.59 / $3,226.00 / $8,294.00	Facility		$513.59	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.82 / $445.22 / $770.38	Professional		$301.82	$445.22	$770.38
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 $301.61 / $390.25 / $645.20	Professional		$301.61	$390.25	$645.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $349.17 / $371.03 / $4,039.00	Professional		$349.17	$371.03	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.83 / $558.83 / $572.00	Facility		$558.83	$558.83	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.34 / $512.73 / $903.42	Professional		$337.34	$512.73	$903.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $462.70 / $594.41 / $702.48	Professional		$462.70	$594.41	$702.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $365.46 / $544.41 / $826.00	Facility		$365.46	$544.41	$826.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $583.00 / $672.00 / $910.00	Professional		$583.00	$672.00	$910.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $422.59 / $1,564.06	Facility		$318.75	$422.59	$1,564.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $426.64 / $601.51 / $2,131.16	Professional		$426.64	$601.51	$2,131.16
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 $376.31 / $575.78 / $958.58	Professional		$376.31	$575.78	$958.58