Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.81 / $3,116.00 / $7,275.00	Facility		$402.81	$3,116.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.30 / $362.51 / $623.79	Professional		$288.30	$362.51	$623.79
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 $306.64 / $400.86 / $662.74	Professional		$306.64	$400.86	$662.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $319.36 / $380.04 / $2,012.00	Professional		$319.36	$380.04	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.13 / $566.13 / $572.00	Facility		$566.13	$566.13	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.98 / $416.16 / $800.06	Professional		$320.98	$416.16	$800.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.54 / $475.64 / $562.12	Professional		$367.54	$475.64	$562.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $343.96 / $429.17 / $664.00	Facility		$343.96	$429.17	$664.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $464.00 / $710.00	Professional		$400.00	$464.00	$710.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $286.16 / $394.08 / $1,407.17	Facility		$286.16	$394.08	$1,407.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $440.76 / $1,581.50	Professional		$312.20	$440.76	$1,581.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.38 / $419.26 / $711.27	Professional		$258.38	$419.26	$711.27