Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.49 / $5,480.00 / $14,798.00	Facility		$368.49	$5,480.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.41 / $289.87 / $464.64	Professional		$209.41	$289.87	$464.64
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 $215.88 / $349.73 / $547.42	Professional		$215.88	$349.73	$547.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $235.72 / $238.01 / $820.31	Professional		$235.72	$238.01	$820.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $1,274.52 / $1,568.92	Facility		$367.72	$1,274.52	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.49 / $347.72 / $630.63	Professional		$225.49	$347.72	$630.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.13 / $443.91 / $630.08	Professional		$355.13	$443.91	$630.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $230.21 / $368.49 / $601.98	Facility		$230.21	$368.49	$601.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.31 / $443.00 / $667.84	Professional		$371.31	$443.00	$667.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $217.57 / $264.39 / $495.53	Facility		$217.57	$264.39	$495.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $294.35 / $414.06 / $815.43	Professional		$294.35	$414.06	$815.43
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 $257.52 / $384.82 / $641.79	Professional		$257.52	$384.82	$641.79