Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.27 / $4,796.00 / $9,918.00	Facility		$435.27	$4,796.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.43 / $435.27 / $528.04	Professional		$362.43	$435.27	$528.04
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 $354.17 / $446.06 / $630.54	Professional		$354.17	$446.06	$630.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $417.47 / $423.85 / $826.51	Professional		$417.47	$423.85	$826.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.58 / $526.00 / $925.00	Facility		$434.58	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.22 / $500.96 / $872.40	Professional		$374.22	$500.96	$872.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.30 / $442.88 / $631.48	Professional		$354.30	$442.88	$631.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $396.63 / $512.91 / $735.61	Facility		$396.63	$512.91	$735.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $474.73 / $539.00 / $720.00	Professional		$474.73	$539.00	$720.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $388.01 / $490.54 / $889.53	Facility		$388.01	$490.54	$889.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $388.01 / $490.54 / $889.53	Professional		$388.01	$490.54	$889.53
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 $298.37 / $457.50 / $758.10	Professional		$298.37	$457.50	$758.10