Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.84 / $5,048.00 / $8,294.00	Facility		$439.84	$5,048.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.35 / $412.24 / $592.64	Professional		$348.35	$412.24	$592.64
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 $359.57 / $470.03 / $777.10	Professional		$359.57	$470.03	$777.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $434.59 / $472.00 / $910.00	Professional		$434.59	$472.00	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.96 / $451.96 / $640.00	Facility		$451.96	$451.96	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.08 / $501.33 / $846.52	Professional		$372.08	$501.33	$846.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.44 / $492.42 / $581.95	Professional		$382.44	$492.42	$581.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $401.98 / $507.79 / $771.75	Facility		$401.98	$507.79	$771.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $466.00 / $537.77 / $778.00	Professional		$466.00	$537.77	$778.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $361.38 / $484.62 / $1,770.00	Facility		$361.38	$484.62	$1,770.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $379.51 / $498.08 / $1,770.00	Professional		$379.51	$498.08	$1,770.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,556.00 / $12,739.00	Facility		$3,651.00	$6,556.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.89 / $459.30 / $725.29	Professional		$289.89	$459.30	$725.29