Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.85 / $3,991.00 / $8,920.00	Facility		$408.85	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.70 / $408.85 / $508.77	Professional		$347.70	$408.85	$508.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.82 / $438.92 / $622.21	Professional		$336.82	$438.92	$622.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $391.52 / $391.52 / $1,224.17	Professional		$391.52	$391.52	$1,224.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $610.00 / $2,202.23	Facility		$320.00	$610.00	$2,202.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $441.70 / $821.93	Professional		$303.00	$441.70	$821.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.11 / $440.14 / $618.90	Professional		$352.11	$440.14	$618.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $462.29 / $690.96	Facility		$371.54	$462.29	$690.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.70 / $501.00 / $864.98	Professional		$426.70	$501.00	$864.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $336.16 / $441.48 / $867.05	Facility		$336.16	$441.48	$867.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $336.16 / $441.48 / $867.05	Professional		$336.16	$441.48	$867.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.31 / $395.49 / $679.24	Professional		$270.31	$395.49	$679.24