Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.48 / $5,087.00 / $8,925.00	Facility		$421.48	$5,087.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.75 / $415.49 / $526.22	Professional		$365.75	$415.49	$526.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.24 / $432.30 / $640.28	Professional		$343.24	$432.30	$640.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $377.33 / $397.19 / $3,225.06	Professional		$377.33	$397.19	$3,225.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $1,727.00 / $7,385.46	Facility		$428.89	$1,727.00	$7,385.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $520.62 / $811.11	Professional		$363.74	$520.62	$811.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.58 / $428.82 / $697.96	Professional		$350.58	$428.82	$697.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.84 / $541.24 / $771.31	Facility		$389.84	$541.24	$771.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $509.00 / $591.67 / $857.45	Professional		$509.00	$591.67	$857.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.39 / $540.41 / $877.57	Facility		$407.39	$540.41	$877.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.39 / $540.41 / $877.57	Professional		$407.39	$540.41	$877.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $12,407.00 / $26,244.00	Facility		$2,020.00	$12,407.00	$26,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.68 / $481.79 / $743.33	Professional		$312.68	$481.79	$743.33