Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.62 / $3,991.00 / $8,294.00	Facility		$527.62	$3,991.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.83 / $480.05 / $651.38	Professional		$336.83	$480.05	$651.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.45 / $411.08 / $679.63	Professional		$321.45	$411.08	$679.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $374.82 / $412.30 / $6,433.00	Professional		$374.82	$412.30	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.22 / $595.22 / $640.00	Facility		$595.22	$595.22	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.08 / $553.22 / $959.95	Professional		$366.08	$553.22	$959.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.90 / $619.39 / $729.38	Professional		$483.90	$619.39	$729.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $597.60 / $889.77	Facility		$394.00	$597.60	$889.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $651.00 / $743.00 / $956.00	Professional		$651.00	$743.00	$956.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $348.66 / $477.57 / $1,675.30	Facility		$348.66	$477.57	$1,675.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $490.03 / $662.79 / $2,418.26	Professional		$490.03	$662.79	$2,418.26
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.68 / $655.78 / $1,060.40	Professional		$422.68	$655.78	$1,060.40