Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.59 / $1,814.00 / $8,294.00	Facility		$342.59	$1,814.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.26 / $426.96 / $706.27	Professional		$298.26	$426.96	$706.27
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 $281.26 / $363.92 / $601.66	Professional		$281.26	$363.92	$601.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $343.94 / $363.38 / $4,117.00	Professional		$343.94	$363.38	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.14 / $521.14 / $640.00	Facility		$521.14	$521.14	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.98 / $477.10 / $836.31	Professional		$313.98	$477.10	$836.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.75 / $545.50 / $644.67	Professional		$425.75	$545.50	$644.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $342.59 / $513.02 / $767.74	Facility		$342.59	$513.02	$767.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $632.00 / $842.00	Professional		$534.00	$632.00	$842.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $297.77 / $395.39 / $1,458.10	Facility		$297.77	$395.39	$1,458.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $399.81 / $553.48 / $1,972.86	Professional		$399.81	$553.48	$1,972.86
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 $349.07 / $539.96 / $898.54	Professional		$349.07	$539.96	$898.54