Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.40 / $3,226.00 / $8,920.00	Facility		$210.40	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.63 / $320.43 / $684.60	Professional		$180.63	$320.43	$684.60
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 $181.20 / $449.87 / $793.16	Professional		$181.20	$449.87	$793.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $202.09 / $647.41	Professional		$199.34	$202.09	$647.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.91 / $773.69 / $1,035.00	Facility		$307.91	$773.69	$1,035.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.77 / $490.11 / $1,053.71	Professional		$192.77	$490.11	$1,053.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.35 / $616.02 / $760.84	Professional		$513.35	$616.02	$760.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $207.91 / $520.69 / $978.98	Facility		$207.91	$520.69	$978.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $422.81 / $744.00 / $1,481.00	Professional		$422.81	$744.00	$1,481.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $250.25 / $438.66	Facility		$188.76	$250.25	$438.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $600.74 / $788.23 / $1,360.73	Professional		$600.74	$788.23	$1,360.73
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 $459.35 / $746.45 / $1,141.90	Professional		$459.35	$746.45	$1,141.90