Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.19 / $5,360.00 / $8,920.00	Facility		$822.19	$5,360.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.68 / $456.89 / $822.19	Professional		$345.68	$456.89	$822.19
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 $383.58 / $496.75 / $705.93	Professional		$383.58	$496.75	$705.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $427.04 / $450.39 / $871.16	Professional		$427.04	$450.39	$871.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.66 / $988.00 / $3,567.92	Facility		$473.66	$988.00	$3,567.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.96 / $493.93 / $879.80	Professional		$359.96	$493.93	$879.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.38 / $496.73 / $680.97	Professional		$397.38	$496.73	$680.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $419.10 / $531.48 / $806.37	Facility		$419.10	$531.48	$806.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $567.00 / $886.00	Professional		$484.00	$567.00	$886.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $397.21 / $490.07 / $976.86	Facility		$397.21	$490.07	$976.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $397.21 / $490.07 / $976.86	Professional		$397.21	$490.07	$976.86
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 $311.98 / $466.68 / $769.31	Professional		$311.98	$466.68	$769.31