Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.71 / $4,568.37 / $9,261.00	Facility		$574.71	$4,568.37	$9,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.03 / $522.26 / $883.09	Professional		$348.03	$522.26	$883.09
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 $353.04 / $512.51 / $780.99	Professional		$353.04	$512.51	$780.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $379.60 / $379.60 / $770.59	Professional		$379.60	$379.60	$770.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $925.00 / $1,792.00	Facility		$490.00	$925.00	$1,792.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $533.35 / $953.86	Professional		$360.00	$533.35	$953.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.57 / $594.16 / $855.66	Professional		$494.57	$594.16	$855.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $400.77 / $574.71 / $897.20	Facility		$400.77	$574.71	$897.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $571.00 / $684.00 / $966.00	Professional		$571.00	$684.00	$966.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $354.59 / $444.76 / $838.95	Facility		$354.59	$444.76	$838.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $488.42 / $619.52 / $1,233.41	Professional		$488.42	$619.52	$1,233.41
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 $398.77 / $582.07 / $1,000.95	Professional		$398.77	$582.07	$1,000.95