Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $3,116.00 / $7,275.00	Facility		$467.00	$3,116.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $389.21 / $517.09	Professional		$274.67	$389.21	$517.09
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 $273.52 / $349.77 / $578.27	Professional		$273.52	$349.77	$578.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $313.79 / $331.83 / $4,039.00	Professional		$313.79	$331.83	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.06 / $503.06 / $572.00	Facility		$503.06	$503.06	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.04 / $462.88 / $831.06	Professional		$303.04	$462.88	$831.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.91 / $538.78 / $636.74	Professional		$419.91	$538.78	$636.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $327.29 / $495.02 / $747.20	Facility		$327.29	$495.02	$747.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $624.04 / $837.00	Professional		$520.00	$624.04	$837.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $292.62 / $386.44 / $1,414.31	Facility		$292.62	$386.44	$1,414.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $546.42 / $1,960.48	Professional		$394.97	$546.42	$1,960.48
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 $346.88 / $524.89 / $900.60	Professional		$346.88	$524.89	$900.60