Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.92 / $3,832.00 / $8,294.00	Facility		$397.92	$3,832.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.26 / $364.32 / $598.09	Professional		$233.26	$364.32	$598.09
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 $224.96 / $287.68 / $475.62	Professional		$224.96	$287.68	$475.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $283.61 / $288.14 / $3,019.00	Professional		$283.61	$288.14	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.50 / $410.50 / $640.00	Facility		$410.50	$410.50	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.54 / $400.35 / $713.57	Professional		$252.54	$400.35	$713.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.94 / $458.76 / $542.16	Professional		$356.94	$458.76	$542.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $261.41 / $421.80 / $658.48	Facility		$261.41	$421.80	$658.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $538.00 / $719.00	Professional		$468.00	$538.00	$719.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $239.73 / $324.82 / $1,291.00	Facility		$239.73	$324.82	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $357.36 / $477.94 / $1,770.00	Professional		$357.36	$477.94	$1,770.00
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 $297.83 / $437.14 / $758.50	Professional		$297.83	$437.14	$758.50