Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.48 / $1,938.00 / $6,827.70	Facility		$373.48	$1,938.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.83 / $323.94 / $472.85	Professional		$213.83	$323.94	$472.85
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 $215.38 / $320.63 / $500.94	Professional		$215.38	$320.63	$500.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $235.51 / $236.27 / $744.63	Professional		$235.51	$236.27	$744.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $610.00 / $1,568.92	Facility		$320.00	$610.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.26 / $350.96 / $591.44	Professional		$229.26	$350.96	$591.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.60 / $392.21 / $562.03	Professional		$316.60	$392.21	$562.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.84 / $373.48 / $583.15	Facility		$246.84	$373.48	$583.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $388.00 / $461.00 / $624.00	Professional		$388.00	$461.00	$624.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $223.32 / $277.38 / $502.21	Facility		$223.32	$277.38	$502.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $306.10 / $409.31 / $789.06	Professional		$306.10	$409.31	$789.06
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.70 / $373.82 / $650.49	Professional		$254.70	$373.82	$650.49