Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.64 / $4,771.00 / $9,539.00	Facility		$276.64	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.07 / $276.64 / $335.50	Professional		$230.07	$276.64	$335.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.89 / $283.75 / $403.23	Professional		$221.89	$283.75	$403.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $265.60 / $267.70 / $522.01	Professional		$265.60	$267.70	$522.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $526.00 / $925.00	Facility		$276.41	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $316.70 / $554.50	Professional		$237.52	$316.70	$554.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.83 / $281.04 / $400.93	Professional		$224.83	$281.04	$400.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.18 / $318.39 / $472.90	Facility		$251.18	$318.39	$472.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $342.00 / $552.74	Professional		$304.00	$342.00	$552.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $246.65 / $309.89 / $563.32	Facility		$246.65	$309.89	$563.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $246.65 / $309.89 / $563.32	Professional		$246.65	$309.89	$563.32
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.45 / $305.18 / $487.91	Professional		$194.45	$305.18	$487.91