Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.82 / $3,583.50 / $8,003.00	Facility		$522.82	$3,583.50	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.66 / $488.27 / $840.44	Professional		$294.66	$488.27	$840.44
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 $301.00 / $389.46 / $643.89	Professional		$301.00	$389.46	$643.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $343.29 / $370.55 / $5,113.00	Professional		$343.29	$370.55	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.83 / $557.83 / $640.00	Facility		$557.83	$557.83	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.80 / $508.64 / $914.94	Professional		$336.80	$508.64	$914.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.83 / $604.48 / $714.39	Professional		$469.83	$604.48	$714.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $365.42 / $558.90 / $836.51	Facility		$365.42	$558.90	$836.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $680.02 / $921.00	Professional		$579.00	$680.02	$921.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $318.07 / $420.64 / $1,558.92	Facility		$318.07	$420.64	$1,558.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $433.48 / $609.58 / $2,158.34	Professional		$433.48	$609.58	$2,158.34
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 $359.74 / $556.63 / $939.95	Professional		$359.74	$556.63	$939.95