Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.45 / $5,282.00 / $9,918.00	Facility		$390.45	$5,282.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.24 / $390.45 / $480.62	Professional		$339.24	$390.45	$480.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.22 / $300.58 / $424.80	Professional		$239.22	$300.58	$424.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $343.54 / $378.63 / $738.33	Professional		$343.54	$378.63	$738.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $526.00 / $925.00	Facility		$408.44	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.70 / $493.33 / $876.53	Professional		$353.70	$493.33	$876.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.37 / $412.04 / $525.00	Professional		$343.37	$412.04	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $364.53 / $463.30 / $688.33	Facility		$364.53	$463.30	$688.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $464.00 / $620.00 / $1,613.00	Professional		$464.00	$620.00	$1,613.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $356.73 / $523.50 / $1,227.00	Facility		$356.73	$523.50	$1,227.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $356.73 / $523.50 / $1,227.00	Professional		$356.73	$523.50	$1,227.00
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $420.11 / $680.61	Professional		$285.42	$420.11	$680.61