Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.79 / $5,048.00 / $8,294.00	Facility		$728.79	$5,048.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.67 / $478.11 / $598.04	Professional		$399.67	$478.11	$598.04
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 $381.76 / $494.39 / $704.11	Professional		$381.76	$494.39	$704.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $454.49 / $454.49 / $927.16	Professional		$454.49	$454.49	$927.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.42 / $925.00 / $1,572.88	Facility		$472.42	$925.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.19 / $511.22 / $923.09	Professional		$384.19	$511.22	$923.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.73 / $502.16 / $695.87	Professional		$401.73	$502.16	$695.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $426.70 / $540.26 / $829.34	Facility		$426.70	$540.26	$829.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.01 / $584.00 / $982.94	Professional		$478.01	$584.00	$982.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $402.83 / $511.47 / $976.81	Facility		$402.83	$511.47	$976.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $402.83 / $511.47 / $976.81	Professional		$402.83	$511.47	$976.81
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 $317.86 / $470.88 / $840.03	Professional		$317.86	$470.88	$840.03