Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.87 / $2,509.30 / $8,294.00	Facility		$80.87	$2,509.30	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $219.94 / $532.60	Professional		$69.63	$219.94	$532.60
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 $69.22 / $288.98 / $621.44	Professional		$69.22	$288.98	$621.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $78.86 / $778.00	Professional		$78.86	$78.86	$778.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $118.37	Facility		$118.37	$118.37	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.18 / $207.92 / $706.41	Professional		$86.18	$207.92	$706.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $471.16 / $577.40	Professional		$392.63	$471.16	$577.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.87 / $386.93 / $687.84	Facility		$80.87	$386.93	$687.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $441.29 / $904.00	Professional		$386.00	$441.29	$904.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $122.48 / $303.24	Facility		$77.34	$122.48	$303.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $402.47 / $536.50 / $957.72	Professional		$402.47	$536.50	$957.72
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.73 / $529.49 / $786.53	Professional		$339.73	$529.49	$786.53