Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.73 / $3,988.00 / $8,294.00	Facility		$517.73	$3,988.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $463.47 / $618.59	Professional		$319.70	$463.47	$618.59
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 $303.32 / $387.89 / $641.29	Professional		$303.32	$387.89	$641.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $358.90 / $387.61 / $4,117.00	Professional		$358.90	$387.61	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.61 / $555.61 / $640.00	Facility		$555.61	$555.61	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.76 / $517.00 / $903.42	Professional		$340.76	$517.00	$903.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.24 / $599.90 / $708.97	Professional		$466.24	$599.90	$708.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $361.49 / $551.16 / $843.39	Facility		$361.49	$551.16	$843.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $594.00 / $706.00 / $910.00	Professional		$594.00	$706.00	$910.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $324.02 / $432.96 / $1,542.37	Facility		$324.02	$432.96	$1,542.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $437.71 / $621.22 / $2,131.16	Professional		$437.71	$621.22	$2,131.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,979.00 / $13,217.00	Facility		$3,510.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.08 / $558.16 / $942.34	Professional		$377.08	$558.16	$942.34