Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.52 / $3,633.00 / $8,920.00	Facility		$320.52	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $320.52 / $391.34	Professional		$287.89	$320.52	$391.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $363.53 / $498.58	Professional		$284.27	$363.53	$498.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $334.67 / $436.61 / $3,026.00	Professional		$334.67	$436.61	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.94 / $377.89 / $717.16	Professional		$286.94	$377.89	$717.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.45 / $349.74 / $431.35	Professional		$291.45	$349.74	$431.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.52 / $393.36 / $568.90	Facility		$320.52	$393.36	$568.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $347.03 / $394.00 / $698.00	Professional		$347.03	$394.00	$698.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $264.62 / $374.22 / $1,683.00	Facility		$264.62	$374.22	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $374.22 / $1,683.00	Professional		$264.62	$374.22	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.37 / $359.54 / $633.99	Professional		$231.37	$359.54	$633.99