Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.58 / $3,484.00 / $8,294.00	Facility		$320.58	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $407.93 / $680.72	Professional		$276.33	$407.93	$680.72
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 $265.22 / $339.16 / $560.73	Professional		$265.22	$339.16	$560.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $321.69 / $3,019.00	Professional		$305.02	$321.69	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.52 / $488.52 / $640.00	Facility		$488.52	$488.52	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $450.93 / $807.38	Professional		$294.49	$450.93	$807.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.22 / $527.51 / $623.41	Professional		$411.22	$527.51	$623.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $310.99 / $486.17 / $730.93	Facility		$310.99	$486.17	$730.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $514.00 / $609.00 / $813.00	Professional		$514.00	$609.00	$813.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $277.52 / $381.22 / $1,364.43	Facility		$277.52	$381.22	$1,364.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $392.34 / $534.60 / $1,904.64	Professional		$392.34	$534.60	$1,904.64
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 $340.03 / $514.03 / $889.27	Professional		$340.03	$514.03	$889.27