Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $2,190.00 / $8,294.00	Facility		$429.00	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $340.07 / $489.25	Professional		$205.02	$340.07	$489.25
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 $207.11 / $369.14 / $579.45	Professional		$207.11	$369.14	$579.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $220.29 / $220.29 / $449.39	Professional		$220.29	$220.29	$449.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $497.08 / $1,035.00	Facility		$320.00	$497.08	$1,035.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.12 / $401.91 / $720.96	Professional		$225.12	$401.91	$720.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.10 / $468.69 / $740.97	Professional		$357.10	$468.69	$740.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.76 / $429.00 / $713.67	Facility		$241.76	$429.00	$713.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $585.64 / $803.00	Professional		$463.00	$585.64	$803.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $224.07 / $287.83 / $497.00	Facility		$224.07	$287.83	$497.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $553.49 / $972.49	Professional		$421.12	$553.49	$972.49
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 $329.91 / $507.78 / $801.14	Professional		$329.91	$507.78	$801.14