Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.29 / $2,147.98 / $5,412.00	Facility		$631.29	$2,147.98	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $429.61 / $743.66	Professional		$68.84	$429.61	$743.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $419.72 / $824.24	Professional		$68.81	$419.72	$824.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $74.05 / $151.06	Professional		$71.30	$74.05	$151.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.08 / $610.00 / $972.27	Facility		$119.08	$610.00	$972.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $194.16 / $993.07	Professional		$77.67	$194.16	$993.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $663.21 / $1,004.36	Professional		$525.00	$663.21	$1,004.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $248.87 / $1,018.81	Facility		$81.31	$248.87	$1,018.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $657.00 / $773.00 / $1,099.00	Professional		$657.00	$773.00	$1,099.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $97.06 / $164.08	Facility		$73.70	$97.06	$164.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $530.57 / $729.03 / $1,411.17	Professional		$530.57	$729.03	$1,411.17
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.24 / $728.71 / $1,113.36	Professional		$463.24	$728.71	$1,113.36