Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,998.00 / $6,827.70	Facility		$416.87	$2,998.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.47 / $416.87 / $769.71	Professional		$214.47	$416.87	$769.71
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 $161.32 / $203.18 / $339.18	Professional		$161.32	$203.18	$339.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.03 / $260.66 / $3,019.00	Professional		$189.03	$260.66	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $572.00	Facility		$297.22	$297.22	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $444.84 / $912.99	Professional		$201.34	$444.84	$912.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.42 / $351.26 / $413.82	Professional		$274.42	$351.26	$413.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.79 / $514.04 / $800.94	Facility		$250.79	$514.04	$800.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.37 / $688.00 / $969.00	Professional		$436.37	$688.00	$969.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $197.33 / $392.37 / $1,770.00	Facility		$197.33	$392.37	$1,770.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $339.84 / $579.34 / $2,285.37	Professional		$339.84	$579.34	$2,285.37
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 $393.45 / $605.54 / $1,043.69	Professional		$393.45	$605.54	$1,043.69