Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.41 / $4,771.00 / $8,920.00	Facility		$342.41	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.41 / $342.41 / $395.06	Professional		$289.41	$342.41	$395.06
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 $294.72 / $375.67 / $516.89	Professional		$294.72	$375.67	$516.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $464.55 / $464.55 / $929.10	Professional		$464.55	$464.55	$929.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.31 / $610.00 / $867.88	Facility		$346.31	$610.00	$867.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $388.79 / $659.57	Professional		$290.27	$388.79	$659.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.75 / $362.19 / $533.04	Professional		$289.75	$362.19	$533.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.45 / $392.65 / $578.87	Facility		$309.45	$392.65	$578.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $320.60 / $430.00 / $716.28	Professional		$320.60	$430.00	$716.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $382.62 / $707.93	Facility		$293.63	$382.62	$707.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $293.63 / $382.62 / $707.93	Professional		$293.63	$382.62	$707.93
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.38 / $352.88 / $588.72	Professional		$235.38	$352.88	$588.72