Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.81 / $3,988.00 / $8,294.00	Facility		$390.81	$3,988.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $329.29 / $496.05	Professional		$224.12	$329.29	$496.05
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 $230.31 / $367.25 / $579.00	Professional		$230.31	$367.25	$579.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $249.75 / $253.38 / $515.49	Professional		$249.75	$253.38	$515.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $925.00 / $1,568.92	Facility		$393.87	$925.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.05 / $375.98 / $667.78	Professional		$245.05	$375.98	$667.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.14 / $466.43 / $596.79	Professional		$373.14	$466.43	$596.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $392.22 / $638.44	Facility		$250.87	$392.22	$638.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $396.64 / $473.00 / $702.15	Professional		$396.64	$473.00	$702.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $232.82 / $287.51 / $532.78	Facility		$232.82	$287.51	$532.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $319.98 / $439.14 / $863.47	Professional		$319.98	$439.14	$863.47
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 $278.72 / $408.79 / $670.79	Professional		$278.72	$408.79	$670.79