Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.93 / $3,633.00 / $8,920.00	Facility		$385.93	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.61 / $389.93 / $555.82	Professional		$313.61	$389.93	$555.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.70 / $402.43 / $603.70	Professional		$314.70	$402.43	$603.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $385.92 / $428.80 / $857.60	Professional		$385.92	$428.80	$857.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $392.68 / $610.00	Facility		$320.00	$392.68	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.32 / $455.04 / $751.68	Professional		$339.32	$455.04	$751.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.11 / $385.46 / $591.60	Professional		$310.11	$385.46	$591.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $364.43 / $458.75 / $706.25	Facility		$364.43	$458.75	$706.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $433.00 / $501.00 / $719.95	Professional		$433.00	$501.00	$719.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $346.85 / $466.40 / $836.67	Facility		$346.85	$466.40	$836.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $346.85 / $466.40 / $836.67	Professional		$346.85	$466.40	$836.67
United Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $696.00 / $2,350.00	Facility		$109.00	$696.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.95 / $401.53 / $660.49	Professional		$276.95	$401.53	$660.49