Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.88 / $3,633.00 / $8,294.00	Facility		$354.88	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.65 / $341.95 / $475.04	Professional		$225.65	$341.95	$475.04
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 $272.64 / $394.46 / $557.60	Professional		$272.64	$394.46	$557.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $362.45 / $402.72 / $809.47	Professional		$362.45	$402.72	$809.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.86 / $610.00 / $1,572.88	Facility		$386.86	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.03 / $345.92 / $617.44	Professional		$219.03	$345.92	$617.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.50 / $410.63 / $576.59	Professional		$328.50	$410.63	$576.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.51 / $355.29 / $579.05	Facility		$239.51	$355.29	$579.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $413.00 / $750.00	Professional		$339.00	$413.00	$750.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $210.92 / $329.70 / $798.40	Facility		$210.92	$329.70	$798.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $387.46 / $798.40	Professional		$247.50	$387.46	$798.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $5,260.00 / $12,739.00	Facility		$1,078.00	$5,260.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.92 / $346.68 / $618.09	Professional		$222.92	$346.68	$618.09