Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.81 / $5,412.00 / $11,425.00	Facility		$469.81	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.21 / $462.59 / $576.04	Professional		$392.21	$462.59	$576.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.32 / $473.96 / $673.54	Professional		$376.32	$473.96	$673.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $443.64 / $451.42 / $925.41	Professional		$443.64	$451.42	$925.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.91 / $1,727.00 / $3,042.62	Facility		$459.91	$1,727.00	$3,042.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.96 / $533.16 / $885.65	Professional		$398.96	$533.16	$885.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.77 / $475.41 / $739.52	Professional		$381.77	$475.41	$739.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $429.47 / $563.83 / $841.08	Facility		$429.47	$563.83	$841.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.00 / $590.75 / $942.55	Professional		$524.00	$590.75	$942.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $423.16 / $541.41 / $956.69	Facility		$423.16	$541.41	$956.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $423.16 / $541.41 / $956.69	Professional		$423.16	$541.41	$956.69
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 $337.53 / $502.01 / $813.24	Professional		$337.53	$502.01	$813.24