Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.73 / $3,970.00 / $8,294.00	Facility		$312.73	$3,970.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.44 / $405.89 / $636.48	Professional		$256.44	$405.89	$636.48
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 $262.20 / $408.46 / $651.82	Professional		$262.20	$408.46	$651.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.63 / $286.26 / $568.94	Professional		$259.63	$286.26	$568.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.79 / $446.22 / $610.00	Facility		$294.79	$446.22	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $419.27 / $738.61	Professional		$274.60	$419.27	$738.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.19 / $511.49 / $717.00	Professional		$409.19	$511.49	$717.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.85 / $441.78 / $711.97	Facility		$288.85	$441.78	$711.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $531.00 / $790.50	Professional		$444.00	$531.00	$790.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $263.24 / $332.73 / $608.44	Facility		$263.24	$332.73	$608.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $357.38 / $491.39 / $958.98	Professional		$357.38	$491.39	$958.98
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,978.00 / $12,680.00	Facility		$908.00	$5,978.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.64 / $449.88 / $744.98	Professional		$303.64	$449.88	$744.98