Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.20 / $4,390.00 / $9,347.59	Facility		$439.20	$4,390.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.87 / $410.53 / $693.71	Professional		$283.87	$410.53	$693.71
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 $259.99 / $332.48 / $549.67	Professional		$259.99	$332.48	$549.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.16 / $332.38 / $3,714.00	Professional		$302.16	$332.38	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $478.20 / $776.00	Facility		$478.20	$478.20	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.61 / $457.22 / $790.52	Professional		$294.61	$457.22	$790.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.47 / $510.04 / $602.23	Professional		$398.47	$510.04	$602.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.95 / $488.48 / $790.45	Facility		$316.95	$488.48	$790.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $671.00 / $808.00	Professional		$546.00	$671.00	$808.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $278.89 / $386.11 / $1,345.50	Facility		$278.89	$386.11	$1,345.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $405.35 / $557.83 / $1,860.17	Professional		$405.35	$557.83	$1,860.17
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 $351.06 / $526.60 / $810.08	Professional		$351.06	$526.60	$810.08