Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.15 / $3,633.00 / $8,294.00	Facility		$449.15	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.04 / $469.43 / $616.87	Professional		$386.04	$469.43	$616.87
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 $367.21 / $501.07 / $731.53	Professional		$367.21	$501.07	$731.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $400.05 / $522.53 / $4,716.00	Professional		$400.05	$522.53	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.03 / $537.34 / $957.45	Professional		$380.03	$537.34	$957.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.14 / $564.16 / $695.81	Professional		$470.14	$564.16	$695.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $409.20 / $551.50 / $818.27	Facility		$409.20	$551.50	$818.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $534.19 / $624.00 / $929.00	Professional		$534.19	$624.00	$929.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $362.43 / $467.99 / $3,512.00	Facility		$362.43	$467.99	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $457.54 / $593.37 / $3,512.00	Professional		$457.54	$593.37	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.66 / $590.59 / $1,001.00	Professional		$378.66	$590.59	$1,001.00