Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.07 / $3,248.00 / $8,003.00	Facility		$559.07	$3,248.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $461.26 / $796.06	Professional		$313.02	$461.26	$796.06
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 $307.68 / $398.11 / $658.19	Professional		$307.68	$398.11	$658.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $364.75 / $401.23 / $4,117.00	Professional		$364.75	$401.23	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.65 / $571.65 / $640.00	Facility		$571.65	$571.65	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.23 / $514.73 / $919.31	Professional		$344.23	$514.73	$919.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.23 / $594.28 / $702.33	Professional		$463.23	$594.28	$702.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $345.27 / $547.26 / $851.45	Facility		$345.27	$547.26	$851.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $678.00 / $920.00	Professional		$589.00	$678.00	$920.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $326.85 / $427.49 / $1,461.43	Facility		$326.85	$427.49	$1,461.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $428.57 / $602.21 / $2,109.82	Professional		$428.57	$602.21	$2,109.82
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 $376.15 / $578.21 / $938.14	Professional		$376.15	$578.21	$938.14