Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.60 / $3,991.00 / $8,920.00	Facility		$498.60	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.65 / $486.73 / $598.19	Professional		$404.65	$486.73	$598.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.53 / $490.46 / $697.59	Professional		$383.53	$490.46	$697.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $439.03 / $468.35 / $2,412.00	Professional		$439.03	$468.35	$2,412.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $610.00 / $3,386.10	Facility		$320.00	$610.00	$3,386.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.95 / $549.19 / $924.29	Professional		$408.95	$549.19	$924.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.06 / $470.73 / $732.86	Professional		$381.06	$470.73	$732.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $438.83 / $560.73 / $822.57	Facility		$438.83	$560.73	$822.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $547.00 / $624.00 / $963.07	Professional		$547.00	$624.00	$963.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $431.34 / $542.77 / $992.06	Facility		$431.34	$542.77	$992.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $431.34 / $542.77 / $992.06	Professional		$431.34	$542.77	$992.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,545.00 / $11,077.00 / $26,244.00	Facility		$2,545.00	$11,077.00	$26,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.66 / $525.00 / $839.11	Professional		$339.66	$525.00	$839.11