Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.95 / $5,087.00 / $8,920.00	Facility		$371.95	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.68 / $366.75 / $592.11	Professional		$322.68	$366.75	$592.11
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 $302.99 / $381.60 / $565.19	Professional		$302.99	$381.60	$565.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $333.07 / $353.66 / $1,839.84	Professional		$333.07	$353.66	$1,839.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $925.00 / $2,403.63	Facility		$378.60	$925.00	$2,403.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.81 / $459.93 / $725.37	Professional		$327.81	$459.93	$725.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $378.60 / $584.40	Professional		$309.58	$378.60	$584.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $353.60 / $479.99 / $680.67	Facility		$353.60	$479.99	$680.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $449.00 / $522.90 / $756.98	Professional		$449.00	$522.90	$756.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $359.47 / $477.71 / $774.57	Facility		$359.47	$477.71	$774.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $359.47 / $477.71 / $774.57	Professional		$359.47	$477.71	$774.57
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 $276.02 / $428.56 / $692.26	Professional		$276.02	$428.56	$692.26