Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.68 / $3,116.00 / $7,275.00	Facility		$361.68	$3,116.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.17 / $322.08 / $397.97	Professional		$254.17	$322.08	$397.97
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 $260.55 / $343.36 / $510.69	Professional		$260.55	$343.36	$510.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $279.26 / $1,755.45	Professional		$277.08	$279.26	$1,755.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $610.00 / $3,282.37	Facility		$425.00	$610.00	$3,282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $379.72 / $629.79	Professional		$269.27	$379.72	$629.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.07 / $390.73 / $545.41	Professional		$309.07	$390.73	$545.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $287.02 / $397.97 / $588.09	Facility		$287.02	$397.97	$588.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $394.00 / $454.00 / $616.00	Professional		$394.00	$454.00	$616.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $262.06 / $340.68 / $602.23	Facility		$262.06	$340.68	$602.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $333.07 / $406.91 / $775.18	Professional		$333.07	$406.91	$775.18
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 $252.60 / $384.52 / $627.54	Professional		$252.60	$384.52	$627.54