Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.42 / $3,988.00 / $8,207.00	Facility		$503.42	$3,988.00	$8,207.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.76 / $430.07 / $743.48	Professional		$269.76	$430.07	$743.48
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 $270.63 / $350.16 / $578.91	Professional		$270.63	$350.16	$578.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $315.14 / $346.65 / $3,714.00	Professional		$315.14	$346.65	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.76 / $503.76 / $640.00	Facility		$503.76	$503.76	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.39 / $475.74 / $858.60	Professional		$304.39	$475.74	$858.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.44 / $567.59 / $670.79	Professional		$440.44	$567.59	$670.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $328.24 / $514.60 / $802.13	Facility		$328.24	$514.60	$802.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $635.00 / $865.00	Professional		$555.00	$635.00	$865.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $375.60 / $1,395.70	Facility		$286.33	$375.60	$1,395.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $411.52 / $572.59 / $2,025.43	Professional		$411.52	$572.59	$2,025.43
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 $347.36 / $538.16 / $917.54	Professional		$347.36	$538.16	$917.54