Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.67 / $3,991.00 / $8,294.00	Facility		$332.67	$3,991.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $286.81 / $480.73	Professional		$181.57	$286.81	$480.73
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 $204.43 / $267.24 / $441.82	Professional		$204.43	$267.24	$441.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $231.53 / $256.27 / $3,714.00	Professional		$231.53	$256.27	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.16 / $381.16 / $640.00	Facility		$381.16	$381.16	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.82 / $341.05 / $576.38	Professional		$215.82	$341.05	$576.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.65 / $442.13 / $522.52	Professional		$341.65	$442.13	$522.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.19 / $350.10 / $552.59	Facility		$231.19	$350.10	$552.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $439.92 / $580.00	Professional		$366.00	$439.92	$580.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $185.47 / $264.92 / $1,291.00	Facility		$185.47	$264.92	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $272.42 / $383.94 / $1,468.11	Professional		$272.42	$383.94	$1,468.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,331.37 / $12,739.00	Facility		$3,651.00	$6,331.37	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.95 / $360.55 / $592.77	Professional		$230.95	$360.55	$592.77