Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $3,226.00 / $8,207.00	Facility		$499.30	$3,226.00	$8,207.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.94 / $466.97 / $780.97	Professional		$309.94	$466.97	$780.97
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 $307.98 / $398.50 / $658.84	Professional		$307.98	$398.50	$658.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $373.64 / $378.56 / $3,019.00	Professional		$373.64	$378.56	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.17 / $573.17 / $640.00	Facility		$573.17	$573.17	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.68 / $507.32 / $915.25	Professional		$344.68	$507.32	$915.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.15 / $582.91 / $688.91	Professional		$455.15	$582.91	$688.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $374.44 / $542.12 / $840.92	Facility		$374.44	$542.12	$840.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $568.00 / $673.00 / $893.00	Professional		$568.00	$673.00	$893.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $326.29 / $429.78 / $1,597.29	Facility		$326.29	$429.78	$1,597.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $446.82 / $591.70 / $2,081.00	Professional		$446.82	$591.70	$2,081.00
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 $370.34 / $543.16 / $911.52	Professional		$370.34	$543.16	$911.52