Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $3,991.00 / $8,294.00	Facility		$440.05	$3,991.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $376.95 / $479.97	Professional		$271.08	$376.95	$479.97
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 $257.26 / $332.87 / $550.33	Professional		$257.26	$332.87	$550.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $308.35 / $333.02 / $3,714.00	Professional		$308.35	$333.02	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.18 / $478.18 / $640.00	Facility		$478.18	$478.18	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.32 / $443.13 / $780.84	Professional		$288.32	$443.13	$780.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.14 / $509.48 / $602.11	Professional		$397.14	$509.48	$602.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $315.41 / $479.97 / $717.36	Facility		$315.41	$479.97	$717.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.00 / $602.00 / $786.00	Professional		$512.00	$602.00	$786.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $277.67 / $368.48 / $1,338.91	Facility		$277.67	$368.48	$1,338.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $397.15 / $529.51 / $1,842.02	Professional		$397.15	$529.51	$1,842.02
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 $325.91 / $491.90 / $835.96	Professional		$325.91	$491.90	$835.96