Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.92 / $3,226.00 / $8,294.00	Facility		$435.92	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.10 / $407.53 / $534.79	Professional		$274.10	$407.53	$534.79
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 $259.69 / $332.09 / $549.04	Professional		$259.69	$332.09	$549.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $314.49 / $330.93 / $4,039.00	Professional		$314.49	$330.93	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $477.61 / $572.00	Facility		$477.61	$477.61	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.74 / $448.55 / $783.38	Professional		$290.74	$448.55	$783.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.60 / $506.37 / $597.77	Professional		$395.60	$506.37	$597.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.17 / $491.16 / $737.77	Facility		$316.17	$491.16	$737.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $514.00 / $620.29 / $789.00	Professional		$514.00	$620.29	$789.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $277.66 / $380.48 / $1,343.82	Facility		$277.66	$380.48	$1,343.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $391.30 / $535.28 / $1,848.00	Professional		$391.30	$535.28	$1,848.00
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 $345.77 / $510.15 / $826.85	Professional		$345.77	$510.15	$826.85