Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.71 / $3,633.00 / $8,294.00	Facility		$441.71	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.31 / $510.85 / $642.70	Professional		$363.31	$510.85	$642.70
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 $357.92 / $514.51 / $786.06	Professional		$357.92	$514.51	$786.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.96 / $403.78 / $3,774.00	Professional		$402.96	$403.78	$3,774.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.27 / $622.27 / $622.27	Facility		$622.27	$622.27	$622.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.68 / $545.62 / $944.71	Professional		$387.68	$545.62	$944.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.61 / $621.51 / $739.89	Professional		$553.61	$621.51	$739.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $385.11 / $534.80 / $764.78	Facility		$385.11	$534.80	$764.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $712.00 / $992.00	Professional		$608.00	$712.00	$992.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $369.81 / $487.06 / $2,814.00	Facility		$369.81	$487.06	$2,814.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $477.91 / $643.69 / $2,814.00	Professional		$477.91	$643.69	$2,814.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.11 / $535.77 / $914.79	Professional		$409.11	$535.77	$914.79