Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.10 / $3,469.00 / $7,201.42	Facility		$508.10	$3,469.00	$7,201.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.04 / $456.62 / $790.18	Professional		$314.04	$456.62	$790.18
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 $329.21 / $470.39 / $715.11	Professional		$329.21	$470.39	$715.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $355.14 / $370.96 / $728.04	Professional		$355.14	$370.96	$728.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $610.00 / $1,572.88	Facility		$425.00	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.44 / $482.70 / $854.39	Professional		$321.44	$482.70	$854.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $545.27 / $746.70	Professional		$446.00	$545.27	$746.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $360.02 / $507.15 / $795.08	Facility		$360.02	$507.15	$795.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $598.00 / $887.00	Professional		$485.00	$598.00	$887.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $314.43 / $398.65 / $790.92	Facility		$314.43	$398.65	$790.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $353.48 / $555.51 / $1,099.20	Professional		$353.48	$555.51	$1,099.20
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.38 / $486.20 / $853.91	Professional		$315.38	$486.20	$853.91