Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.07 / $3,226.00 / $8,294.00	Facility		$378.07	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.99 / $402.88 / $576.13	Professional		$303.99	$402.88	$576.13
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 $307.29 / $451.80 / $704.12	Professional		$307.29	$451.80	$704.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $302.52 / $608.09	Professional		$300.00	$302.52	$608.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $490.00 / $610.00	Facility		$327.20	$490.00	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.16 / $454.98 / $838.54	Professional		$311.16	$454.98	$838.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.18 / $556.48 / $717.00	Professional		$445.18	$556.48	$717.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $315.62 / $466.87 / $734.96	Facility		$315.62	$466.87	$734.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $453.00 / $559.00 / $844.00	Professional		$453.00	$559.00	$844.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $303.44 / $374.02 / $734.64	Facility		$303.44	$374.02	$734.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $381.78 / $522.55 / $1,084.26	Professional		$381.78	$522.55	$1,084.26
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 $317.33 / $479.41 / $836.69	Professional		$317.33	$479.41	$836.69