Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.28 / $3,645.00 / $8,920.00	Facility		$489.28	$3,645.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.33 / $321.33 / $437.81	Professional		$272.33	$321.33	$437.81
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 $259.19 / $328.16 / $474.97	Professional		$259.19	$328.16	$474.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $306.94 / $313.11 / $626.22	Professional		$306.94	$313.11	$626.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.64 / $610.00 / $972.27	Facility		$318.64	$610.00	$972.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $384.51 / $639.71	Professional		$282.14	$384.51	$639.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.60 / $330.59 / $511.98	Professional		$265.60	$330.59	$511.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.54 / $394.45 / $588.04	Facility		$300.54	$394.45	$588.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $410.45 / $653.21	Professional		$363.00	$410.45	$653.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $301.33 / $382.81 / $663.91	Facility		$301.33	$382.81	$663.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $301.33 / $388.13 / $681.39	Professional		$301.33	$388.13	$681.39
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.01 / $340.01 / $559.61	Professional		$234.01	$340.01	$559.61