Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.11 / $3,845.00 / $8,003.00	Facility		$491.11	$3,845.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.82 / $477.56 / $813.00	Professional		$287.82	$477.56	$813.00
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 $284.30 / $367.85 / $608.16	Professional		$284.30	$367.85	$608.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $361.45 / $3,019.00	Professional		$334.68	$361.45	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.62 / $527.62 / $640.00	Facility		$527.62	$527.62	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.69 / $486.83 / $866.28	Professional		$317.69	$486.83	$866.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.40 / $568.54 / $671.91	Professional		$442.40	$568.54	$671.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.08 / $521.49 / $802.00	Facility		$338.08	$521.49	$802.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $563.00 / $649.00 / $872.00	Professional		$563.00	$649.00	$872.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.95 / $393.87 / $1,338.65	Facility		$302.95	$393.87	$1,338.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $402.14 / $575.12 / $2,001.44	Professional		$402.14	$575.12	$2,001.44
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 $350.48 / $544.69 / $955.86	Professional		$350.48	$544.69	$955.86