Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.19 / $3,991.00 / $8,294.00	Facility		$350.19	$3,991.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $292.45 / $385.89	Professional		$178.44	$292.45	$385.89
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 $167.66 / $216.94 / $358.66	Professional		$167.66	$216.94	$358.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $226.78 / $9,951.00	Professional		$206.80	$226.78	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $310.52 / $640.00	Facility		$310.52	$310.52	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.28 / $346.00 / $630.14	Professional		$190.28	$346.00	$630.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.08 / $406.09 / $479.92	Professional		$314.08	$406.09	$479.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.52 / $356.50 / $625.86	Facility		$198.52	$356.50	$625.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $497.00 / $630.00	Professional		$431.00	$497.00	$630.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.64 / $239.26 / $1,291.00	Facility		$180.64	$239.26	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $335.81 / $454.23 / $1,593.50	Professional		$335.81	$454.23	$1,593.50
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 $278.52 / $431.22 / $667.04	Professional		$278.52	$431.22	$667.04