Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.57 / $3,633.00 / $8,294.00	Facility		$461.57	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.73 / $461.57 / $573.69	Professional		$381.73	$461.57	$573.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.43 / $488.69 / $692.76	Professional		$378.43	$488.69	$692.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $438.56 / $487.29 / $950.22	Professional		$438.56	$487.29	$950.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $126.06 / $466.67	Facility		$50.00	$126.06	$466.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.24 / $504.08 / $868.11	Professional		$362.24	$504.08	$868.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.39 / $492.99 / $692.91	Professional		$394.39	$492.99	$692.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $397.47 / $517.47 / $781.09	Facility		$397.47	$517.47	$781.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $495.34 / $578.35 / $973.10	Professional		$495.34	$578.35	$973.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $399.18 / $508.23 / $903.93	Facility		$399.18	$508.23	$903.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $399.18 / $508.23 / $903.93	Professional		$399.18	$508.23	$903.93
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.18 / $478.94 / $804.54	Professional		$314.18	$478.94	$804.54