Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.35 / $1,719.00 / $5,743.00	Facility		$379.35	$1,719.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $342.89 / $568.01	Professional		$225.78	$342.89	$568.01
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 $223.68 / $338.38 / $529.32	Professional		$223.68	$338.38	$529.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $242.65 / $245.64 / $487.73	Professional		$242.65	$245.64	$487.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $610.00 / $712.16	Facility		$320.00	$610.00	$712.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.49 / $361.94 / $627.23	Professional		$232.49	$361.94	$627.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.66 / $422.08 / $596.66	Professional		$337.66	$422.08	$596.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.35 / $379.35 / $595.63	Facility		$254.35	$379.35	$595.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $391.00 / $456.00 / $660.00	Professional		$391.00	$456.00	$660.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $219.50 / $277.88 / $539.33	Facility		$219.50	$277.88	$539.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $318.70 / $415.95 / $821.13	Professional		$318.70	$415.95	$821.13
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 $240.31 / $388.73 / $660.70	Professional		$240.31	$388.73	$660.70