Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.86 / $3,116.00 / $7,275.00	Facility		$407.86	$3,116.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $381.01 / $501.16	Professional		$260.64	$381.01	$501.16
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 $235.40 / $304.58 / $503.56	Professional		$235.40	$304.58	$503.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.29 / $304.29 / $4,039.00	Professional		$288.29	$304.29	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.98 / $436.98 / $572.00	Facility		$436.98	$436.98	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.41 / $436.15 / $782.97	Professional		$279.41	$436.15	$782.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.36 / $472.78 / $558.09	Professional		$369.36	$472.78	$558.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $460.99 / $694.09	Facility		$302.39	$460.99	$694.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $503.00 / $597.00 / $831.00	Professional		$503.00	$597.00	$831.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $257.49 / $364.26 / $1,366.44	Facility		$257.49	$364.26	$1,366.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $376.71 / $525.32 / $1,947.38	Professional		$376.71	$525.32	$1,947.38
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 $330.77 / $509.70 / $848.05	Professional		$330.77	$509.70	$848.05