Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.55 / $3,633.00 / $8,294.00	Facility		$440.55	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.47 / $460.31 / $648.67	Professional		$349.47	$460.31	$648.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.98 / $517.53 / $796.95	Professional		$353.98	$517.53	$796.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $315.26 / $350.29 / $704.08	Professional		$315.26	$350.29	$704.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.35 / $490.67 / $616.29	Facility		$376.35	$490.67	$616.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.97 / $512.72 / $932.97	Professional		$341.97	$512.72	$932.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.76 / $630.95 / $778.83	Professional		$504.76	$630.95	$778.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $359.54 / $519.23 / $821.88	Facility		$359.54	$519.23	$821.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $499.28 / $624.00 / $940.00	Professional		$499.28	$624.00	$940.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $334.78 / $426.44 / $848.36	Facility		$334.78	$426.44	$848.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.92 / $578.78 / $1,206.35	Professional		$407.92	$578.78	$1,206.35
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 $353.06 / $532.91 / $942.23	Professional		$353.06	$532.91	$942.23