Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.38 / $1,692.00 / $7,223.90	Facility		$378.38	$1,692.00	$7,223.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.37 / $396.97 / $833.50	Professional		$195.37	$396.97	$833.50
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 $193.07 / $404.22 / $707.11	Professional		$193.07	$404.22	$707.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.88 / $216.42 / $439.33	Professional		$212.88	$216.42	$439.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.07 / $802.00 / $1,250.00	Facility		$329.07	$802.00	$1,250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.60 / $375.00 / $872.47	Professional		$214.60	$375.00	$872.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.94 / $551.28 / $730.95	Professional		$433.94	$551.28	$730.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $222.58 / $378.00 / $832.10	Facility		$222.58	$378.00	$832.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.61 / $543.00 / $918.00	Professional		$280.61	$543.00	$918.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $210.01 / $270.81 / $470.06	Facility		$210.01	$270.81	$470.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $253.94 / $595.30 / $1,141.59	Professional		$253.94	$595.30	$1,141.59
United Facility/Professional Facility Modifier Low / Median / High Price $516.00 / $2,441.00 / $5,226.00	Facility		$516.00	$2,441.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.29 / $462.14 / $876.40	Professional		$209.29	$462.14	$876.40