Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.72 / $3,116.00 / $7,275.00	Facility		$433.72	$3,116.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.93 / $383.06 / $641.23	Professional		$250.93	$383.06	$641.23
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 $249.06 / $322.26 / $532.79	Professional		$249.06	$322.26	$532.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $292.95 / $308.39 / $3,019.00	Professional		$292.95	$308.39	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.93 / $459.93 / $572.00	Facility		$459.93	$459.93	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $422.90 / $759.05	Professional		$280.00	$422.90	$759.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.57 / $503.94 / $595.57	Professional		$390.57	$503.94	$595.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $279.69 / $459.11 / $710.42	Facility		$279.69	$459.11	$710.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $563.85 / $764.00	Professional		$493.00	$563.85	$764.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $263.69 / $342.65 / $1,291.00	Facility		$263.69	$342.65	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $366.04 / $507.11 / $1,790.60	Professional		$366.04	$507.11	$1,790.60
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 $311.64 / $481.36 / $841.91	Professional		$311.64	$481.36	$841.91