Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.56 / $3,633.00 / $8,294.00	Facility		$423.56	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $496.49 / $837.55	Professional		$259.39	$496.49	$837.55
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 $241.56 / $475.62 / $734.26	Professional		$241.56	$475.62	$734.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $268.25 / $388.87 / $3,774.00	Professional		$268.25	$388.87	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.77 / $532.21 / $999.96	Professional		$277.77	$532.21	$999.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.92 / $586.70 / $723.60	Professional		$488.92	$586.70	$723.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $282.07 / $543.84 / $1,028.85	Facility		$282.07	$543.84	$1,028.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $584.00 / $689.00 / $1,071.00	Professional		$584.00	$689.00	$1,071.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $255.87 / $339.69 / $3,512.00	Facility		$255.87	$339.69	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $488.93 / $739.83 / $3,512.00	Professional		$488.93	$739.83	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.52 / $729.33 / $1,171.06	Professional		$434.52	$729.33	$1,171.06