Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.18 / $3,780.00 / $8,003.00	Facility		$448.18	$3,780.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.54 / $445.52 / $732.33	Professional		$287.54	$445.52	$732.33
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 $296.14 / $383.18 / $633.51	Professional		$296.14	$383.18	$633.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $334.85 / $365.25 / $5,113.00	Professional		$334.85	$365.25	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.71 / $545.71 / $640.00	Facility		$545.71	$545.71	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.90 / $495.38 / $892.96	Professional		$329.90	$495.38	$892.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.24 / $590.32 / $697.65	Professional		$458.24	$590.32	$697.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $335.48 / $535.29 / $825.86	Facility		$335.48	$535.29	$825.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $559.00 / $662.00 / $899.00	Professional		$559.00	$662.00	$899.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $312.79 / $404.62 / $1,521.81	Facility		$312.79	$404.62	$1,521.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $412.42 / $593.33 / $2,106.48	Professional		$412.42	$593.33	$2,106.48
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 $358.22 / $546.63 / $945.21	Professional		$358.22	$546.63	$945.21