Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.30 / $4,347.00 / $8,294.00	Facility		$463.30	$4,347.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.42 / $364.51 / $472.11	Professional		$255.42	$364.51	$472.11
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 $246.02 / $318.33 / $526.29	Professional		$246.02	$318.33	$526.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $325.97 / $3,714.00	Professional		$296.33	$325.97	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.19 / $456.19 / $640.00	Facility		$456.19	$456.19	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $427.87 / $770.06	Professional		$277.08	$427.87	$770.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.44 / $498.05 / $588.60	Professional		$387.44	$498.05	$588.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $298.77 / $464.92 / $713.27	Facility		$298.77	$464.92	$713.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $503.00 / $578.00 / $775.00	Professional		$503.00	$578.00	$775.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $265.36 / $356.73 / $1,291.00	Facility		$265.36	$356.73	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $385.84 / $511.14 / $1,816.58	Professional		$385.84	$511.14	$1,816.58
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 $323.68 / $488.65 / $851.05	Professional		$323.68	$488.65	$851.05