Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.70 / $3,633.00 / $8,920.00	Facility		$273.70	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.63 / $273.70 / $316.14	Professional		$231.63	$273.70	$316.14
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 $232.19 / $295.97 / $407.23	Professional		$232.19	$295.97	$407.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $2,635.00 / $3,426.00	Professional		$690.00	$2,635.00	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $610.00 / $1,568.92	Facility		$277.02	$610.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.15 / $312.16 / $520.37	Professional		$232.15	$312.16	$520.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.46 / $289.32 / $426.63	Professional		$231.46	$289.32	$426.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $248.74 / $314.72 / $462.65	Facility		$248.74	$314.72	$462.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $344.00 / $572.90	Professional		$226.94	$344.00	$572.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $234.92 / $306.02 / $565.85	Facility		$234.92	$306.02	$565.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.92 / $306.02 / $565.85	Professional		$234.92	$306.02	$565.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $5,260.00 / $12,739.00	Facility		$1,078.00	$5,260.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.14 / $287.05 / $475.97	Professional		$188.14	$287.05	$475.97