Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.72 / $1,938.00 / $6,827.70	Facility		$375.72	$1,938.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $453.18 / $781.77	Professional		$173.28	$453.18	$781.77
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 $179.20 / $439.11 / $788.68	Professional		$179.20	$439.11	$788.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $198.53 / $890.29	Professional		$198.53	$198.53	$890.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.67 / $610.00 / $1,572.88	Facility		$310.67	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $455.87 / $932.96	Professional		$191.00	$455.87	$932.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.03 / $631.03 / $939.44	Professional		$501.03	$631.03	$939.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.91 / $501.92 / $929.86	Facility		$203.91	$501.92	$929.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $714.00 / $1,045.97	Professional		$608.00	$714.00	$1,045.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.57 / $231.75 / $431.18	Facility		$183.57	$231.75	$431.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $493.75 / $659.44 / $1,277.05	Professional		$493.75	$659.44	$1,277.05
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,739.00	Facility		$908.00	$5,815.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $611.04 / $1,032.44	Professional		$416.30	$611.04	$1,032.44