Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.78 / $5,048.00 / $10,767.00	Facility		$442.78	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.18 / $442.78 / $975.66	Professional		$347.18	$442.78	$975.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.72 / $434.01 / $663.05	Professional		$342.72	$434.01	$663.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.45 / $376.06 / $733.32	Professional		$338.45	$376.06	$733.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $526.00 / $925.00	Facility		$413.28	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.77 / $502.61 / $880.06	Professional		$369.77	$502.61	$880.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.30 / $395.16 / $525.00	Professional		$329.30	$395.16	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $357.97 / $464.48 / $726.82	Facility		$357.97	$464.48	$726.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $498.25 / $654.00 / $3,372.00	Professional		$498.25	$654.00	$3,372.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $227.77 / $432.80 / $832.35	Facility		$227.77	$432.80	$832.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $227.77 / $432.80 / $832.35	Professional		$227.77	$432.80	$832.35
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.36 / $362.82 / $577.52	Professional		$216.36	$362.82	$577.52