Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.98 / $3,633.00 / $8,294.00	Facility		$412.98	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.33 / $474.86 / $592.16	Professional		$344.33	$474.86	$592.16
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 $336.88 / $484.27 / $726.62	Professional		$336.88	$484.27	$726.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $377.34 / $379.38 / $3,774.00	Professional		$377.34	$379.38	$3,774.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.55 / $591.55 / $591.55	Facility		$591.55	$591.55	$591.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.75 / $523.79 / $897.01	Professional		$369.75	$523.79	$897.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.73 / $572.89 / $682.01	Professional		$512.73	$572.89	$682.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $364.89 / $522.21 / $746.90	Facility		$364.89	$522.21	$746.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $690.00 / $973.00	Professional		$604.00	$690.00	$973.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $352.79 / $474.02 / $5,502.98	Facility		$352.79	$474.02	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $474.30 / $611.63 / $5,502.98	Professional		$474.30	$611.63	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.30 / $517.51 / $871.50	Professional		$394.30	$517.51	$871.50