Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.18 / $3,633.00 / $8,294.00	Facility		$656.18	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.94 / $361.36 / $553.92	Professional		$284.94	$361.36	$553.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.73 / $448.02 / $740.71	Professional		$342.73	$448.02	$740.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.50 / $412.33 / $7,889.00	Professional		$346.50	$412.33	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.93 / $425.93 / $572.00	Facility		$425.93	$425.93	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.19 / $409.34 / $804.73	Professional		$316.19	$409.34	$804.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.25 / $471.38 / $557.09	Professional		$364.25	$471.38	$557.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $345.20 / $424.63 / $657.75	Facility		$345.20	$424.63	$657.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $376.00 / $429.31 / $704.00	Professional		$376.00	$429.31	$704.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $289.87 / $420.54 / $1,590.48	Facility		$289.87	$420.54	$1,590.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $289.87 / $420.54 / $1,590.48	Professional		$289.87	$420.54	$1,590.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,979.00 / $13,521.00	Facility		$3,510.00	$5,979.00	$13,521.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.21 / $382.25 / $644.71	Professional		$226.21	$382.25	$644.71