Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.14 / $4,179.00 / $8,294.00	Facility		$412.14	$4,179.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.21 / $352.01 / $516.00	Professional		$243.21	$352.01	$516.00
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 $231.14 / $299.07 / $494.45	Professional		$231.14	$299.07	$494.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $292.66 / $3,714.00	Professional		$283.42	$292.66	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.74 / $425.74 / $640.00	Facility		$425.74	$425.74	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.17 / $399.74 / $727.67	Professional		$257.17	$399.74	$727.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.40 / $475.44 / $561.89	Professional		$369.40	$475.44	$561.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $280.12 / $436.87 / $680.88	Facility		$280.12	$436.87	$680.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $474.00 / $542.00 / $733.00	Professional		$474.00	$542.00	$733.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $244.36 / $331.94 / $1,291.00	Facility		$244.36	$331.94	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $480.73 / $1,770.00	Professional		$365.98	$480.73	$1,770.00
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 $303.49 / $457.08 / $747.56	Professional		$303.49	$457.08	$747.56