Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.31 / $3,484.00 / $8,294.00	Facility		$353.31	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.35 / $292.35 / $423.56	Professional		$232.35	$292.35	$423.56
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 $233.33 / $339.31 / $525.48	Professional		$233.33	$339.31	$525.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.41 / $263.14 / $500.64	Professional		$245.41	$263.14	$500.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.11 / $610.00 / $1,572.88	Facility		$408.11	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.01 / $353.40 / $615.29	Professional		$234.01	$353.40	$615.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.36 / $415.85 / $525.00	Professional		$332.36	$415.85	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.56 / $356.22 / $577.17	Facility		$241.56	$356.22	$577.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $408.00 / $613.16	Professional		$339.00	$408.00	$613.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $200.61 / $281.76 / $560.37	Facility		$200.61	$281.76	$560.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $280.52 / $382.60 / $772.23	Professional		$280.52	$382.60	$772.23
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 $236.23 / $352.64 / $615.35	Professional		$236.23	$352.64	$615.35