Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.21 / $3,226.00 / $8,294.00	Facility		$484.21	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.63 / $421.32 / $591.02	Professional		$300.63	$421.32	$591.02
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 $287.35 / $367.46 / $607.52	Professional		$287.35	$367.46	$607.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $326.27 / $349.44 / $3,448.00	Professional		$326.27	$349.44	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.53 / $530.53 / $572.00	Facility		$530.53	$530.53	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.49 / $486.30 / $847.15	Professional		$320.49	$486.30	$847.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.74 / $567.83 / $671.07	Professional		$441.74	$567.83	$671.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $513.26 / $774.74	Facility		$326.24	$513.26	$774.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $641.00 / $853.00	Professional		$550.00	$641.00	$853.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $301.70 / $403.38 / $1,456.18	Facility		$301.70	$403.38	$1,456.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $403.40 / $572.71 / $1,998.42	Professional		$403.40	$572.71	$1,998.42
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 $353.34 / $526.41 / $896.71	Professional		$353.34	$526.41	$896.71