Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.71 / $5,360.00 / $9,975.00	Facility		$782.71	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.58 / $462.39 / $841.24	Professional		$362.58	$462.39	$841.24
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 $380.46 / $486.53 / $692.00	Professional		$380.46	$486.53	$692.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $422.94 / $438.99 / $824.73	Professional		$422.94	$438.99	$824.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.44 / $988.00 / $1,896.02	Facility		$466.44	$988.00	$1,896.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $498.54 / $881.04	Professional		$380.00	$498.54	$881.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.13 / $486.41 / $674.90	Professional		$389.13	$486.41	$674.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $418.02 / $540.22 / $811.35	Facility		$418.02	$540.22	$811.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $563.00 / $936.00	Professional		$475.00	$563.00	$936.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $403.08 / $494.07 / $958.94	Facility		$403.08	$494.07	$958.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $494.07 / $958.94	Professional		$403.08	$494.07	$958.94
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 $316.87 / $465.00 / $805.33	Professional		$316.87	$465.00	$805.33