Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.24 / $3,633.00 / $8,294.00	Facility		$498.24	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.37 / $404.01 / $590.19	Professional		$268.37	$404.01	$590.19
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 $265.77 / $343.88 / $568.53	Professional		$265.77	$343.88	$568.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $324.08 / $334.66 / $3,019.00	Professional		$324.08	$334.66	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.28 / $494.28 / $572.00	Facility		$494.28	$494.28	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.37 / $452.19 / $813.83	Professional		$297.37	$452.19	$813.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.64 / $530.79 / $627.29	Professional		$413.64	$530.79	$627.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $325.67 / $499.22 / $746.00	Facility		$325.67	$499.22	$746.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $606.00 / $819.00	Professional		$525.00	$606.00	$819.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $281.51 / $375.95 / $1,386.26	Facility		$281.51	$375.95	$1,386.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $386.56 / $537.73 / $1,919.86	Professional		$386.56	$537.73	$1,919.86
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 $338.48 / $498.20 / $858.72	Professional		$338.48	$498.20	$858.72