Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.17 / $3,991.00 / $8,920.00	Facility		$300.17	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.38 / $296.50 / $368.19	Professional		$249.38	$296.50	$368.19
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 $240.27 / $302.02 / $430.03	Professional		$240.27	$302.02	$430.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $288.51 / $591.45	Professional		$283.26	$288.51	$591.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $925.00 / $3,042.62	Facility		$293.63	$925.00	$3,042.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.48 / $348.40 / $568.16	Professional		$258.48	$348.40	$568.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.06 / $292.87 / $525.00	Professional		$244.06	$292.87	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $264.17 / $354.74 / $501.09	Facility		$264.17	$354.74	$501.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $332.00 / $367.00 / $669.00	Professional		$332.00	$367.00	$669.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $345.67 / $603.66	Facility		$270.27	$345.67	$603.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $345.67 / $603.66	Professional		$270.27	$345.67	$603.66
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,774.00 / $5,889.00	Facility		$500.00	$2,774.00	$5,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $313.33 / $508.46	Professional		$213.49	$313.33	$508.46