Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.85 / $4,898.00 / $9,347.59	Facility		$545.85	$4,898.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.18 / $472.14 / $791.48	Professional		$316.18	$472.14	$791.48
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 $299.79 / $387.89 / $641.29	Professional		$299.79	$387.89	$641.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.19 / $367.83 / $3,714.00	Professional		$352.19	$367.83	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.62 / $558.62 / $776.00	Facility		$558.62	$558.62	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.10 / $502.45 / $898.38	Professional		$335.10	$502.45	$898.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.56 / $583.75 / $689.88	Professional		$455.56	$583.75	$689.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $364.31 / $534.79 / $826.00	Facility		$364.31	$534.79	$826.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $668.00 / $899.00	Professional		$574.00	$668.00	$899.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $317.14 / $421.87 / $1,567.85	Facility		$317.14	$421.87	$1,567.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $444.80 / $592.24 / $2,081.00	Professional		$444.80	$592.24	$2,081.00
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 $372.85 / $558.58 / $940.27	Professional		$372.85	$558.58	$940.27