Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.60 / $3,991.00 / $8,920.00	Facility		$316.60	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.94 / $316.60 / $387.83	Professional		$267.94	$316.60	$387.83
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 $252.75 / $318.33 / $465.58	Professional		$252.75	$318.33	$465.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $303.94 / $592.67	Professional		$297.89	$303.94	$592.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $610.00 / $1,035.00	Facility		$308.95	$610.00	$1,035.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.42 / $374.17 / $685.09	Professional		$265.42	$374.17	$685.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.29 / $308.75 / $452.90	Professional		$257.29	$308.75	$452.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $279.01 / $369.54 / $527.09	Facility		$279.01	$369.54	$527.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $352.00 / $388.00 / $702.00	Professional		$352.00	$388.00	$702.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $284.23 / $376.49 / $660.52	Facility		$284.23	$376.49	$660.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $284.23 / $376.49 / $660.52	Professional		$284.23	$376.49	$660.52
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,774.00 / $5,226.00	Facility		$490.00	$2,774.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.39 / $355.33 / $585.16	Professional		$229.39	$355.33	$585.16