Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.38 / $5,087.00 / $8,294.00	Facility		$538.38	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.60 / $486.62 / $675.66	Professional		$441.60	$486.62	$675.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.11 / $555.70 / $918.73	Professional		$429.11	$555.70	$918.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $521.97 / $526.04 / $3,019.00	Professional		$521.97	$526.04	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.02 / $537.02 / $640.00	Facility		$537.02	$537.02	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.86 / $607.94 / $958.85	Professional		$451.86	$607.94	$958.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.33 / $580.26 / $670.93	Professional		$453.33	$580.26	$670.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.62 / $606.83 / $879.51	Facility		$457.62	$606.83	$879.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $685.00 / $965.00	Professional		$615.00	$685.00	$965.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $438.38 / $596.72 / $2,069.56	Facility		$438.38	$596.72	$2,069.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $466.19 / $614.41 / $2,069.56	Professional		$466.19	$614.41	$2,069.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,978.00 / $13,217.00	Facility		$3,510.00	$5,978.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.85 / $590.12 / $899.18	Professional		$390.85	$590.12	$899.18