Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $5,087.00 / $8,920.00	Facility		$350.00	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $308.24 / $405.70	Professional		$271.23	$308.24	$405.70
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 $254.31 / $320.30 / $480.48	Professional		$254.31	$320.30	$480.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $294.48 / $1,735.39	Professional		$293.52	$294.48	$1,735.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $925.00 / $3,567.92	Facility		$317.77	$925.00	$3,567.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $396.96 / $613.63	Professional		$278.58	$396.96	$613.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.75 / $319.20 / $520.26	Professional		$260.75	$319.20	$520.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $301.42 / $423.70 / $602.83	Facility		$301.42	$423.70	$602.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $440.00 / $635.54	Professional		$378.00	$440.00	$635.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.37 / $403.08 / $661.81	Facility		$302.37	$403.08	$661.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $302.37 / $403.08 / $661.81	Professional		$302.37	$403.08	$661.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,545.00 / $11,598.00 / $26,244.00	Facility		$2,545.00	$11,598.00	$26,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.81 / $358.58 / $571.85	Professional		$230.81	$358.58	$571.85