Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.02 / $4,179.00 / $8,294.00	Facility		$428.02	$4,179.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.58 / $381.12 / $538.16	Professional		$255.58	$381.12	$538.16
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 $243.29 / $314.79 / $520.44	Professional		$243.29	$314.79	$520.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $299.72 / $313.47 / $3,019.00	Professional		$299.72	$313.47	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.74 / $448.74 / $640.00	Facility		$448.74	$448.74	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.49 / $419.40 / $766.15	Professional		$272.49	$419.40	$766.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $491.26 / $580.58	Professional		$382.28	$491.26	$580.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $299.30 / $468.52 / $708.33	Facility		$299.30	$468.52	$708.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $498.00 / $565.00 / $771.00	Professional		$498.00	$565.00	$771.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $341.14 / $1,291.00	Facility		$257.77	$341.14	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $377.33 / $503.52 / $1,807.34	Professional		$377.33	$503.52	$1,807.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,556.00 / $12,739.00	Facility		$3,651.00	$6,556.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.41 / $474.25 / $785.10	Professional		$315.41	$474.25	$785.10