Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.22 / $3,645.00 / $8,294.00	Facility		$469.22	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.48 / $308.64 / $389.81	Professional		$269.48	$308.64	$389.81
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 $254.00 / $319.89 / $467.88	Professional		$254.00	$319.89	$467.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $293.79 / $294.56 / $590.52	Professional		$293.79	$294.56	$590.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $610.00 / $3,567.92	Facility		$315.85	$610.00	$3,567.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.43 / $391.74 / $614.45	Professional		$277.43	$391.74	$614.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.37 / $319.89 / $522.62	Professional		$260.37	$319.89	$522.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.64 / $417.00 / $597.77	Facility		$300.64	$417.00	$597.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $446.00 / $635.04	Professional		$378.00	$446.00	$635.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.68 / $397.69 / $661.82	Facility		$302.68	$397.69	$661.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $302.68 / $397.69 / $661.82	Professional		$302.68	$397.69	$661.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.82 / $352.40 / $564.63	Professional		$229.82	$352.40	$564.63