Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.16 / $4,636.64 / $8,294.00	Facility		$525.16	$4,636.64	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.64 / $461.96 / $778.50	Professional		$304.64	$461.96	$778.50
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 $315.48 / $462.99 / $717.55	Professional		$315.48	$462.99	$717.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.37 / $338.37 / $693.66	Professional		$338.37	$338.37	$693.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $925.00 / $1,572.88	Facility		$490.00	$925.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.89 / $483.57 / $866.30	Professional		$321.89	$483.57	$866.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.92 / $562.79 / $778.94	Professional		$457.92	$562.79	$778.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $356.70 / $525.16 / $821.31	Facility		$356.70	$525.16	$821.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $518.00 / $626.00 / $890.00	Professional		$518.00	$626.00	$890.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $312.79 / $387.40 / $751.23	Facility		$312.79	$387.40	$751.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $428.93 / $570.59 / $1,129.18	Professional		$428.93	$570.59	$1,129.18
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,978.00 / $12,680.00	Facility		$908.00	$5,978.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.10 / $516.14 / $914.67	Professional		$344.10	$516.14	$914.67