Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,630.78 / $10,000.00	Facility		$436.52	$3,630.78	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $776.25	Professional		$346.74	$426.58	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $15,848.93	Facility		$6,760.83	$11,220.18	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $741.31	Professional		$371.54	$489.78	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $562.34	Professional		$371.54	$407.38	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $776.25	Professional		$371.54	$478.63	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $645.65	Professional		$323.59	$389.05	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $794.33	Professional		$549.54	$575.44	$794.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $758.58	Facility		$380.19	$501.19	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $478.63 / $1,659.59	Facility		$371.54	$478.63	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $1,659.59	Professional		$371.54	$478.63	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $758.58	Professional		$302.00	$446.68	$758.58