Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.79 / $3,645.00 / $8,920.00	Facility		$366.79	$3,645.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.11 / $366.79 / $398.66	Professional		$304.11	$366.79	$398.66
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 $292.57 / $374.14 / $513.13	Professional		$292.57	$374.14	$513.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $348.59 / $504.99 / $4,716.00	Professional		$348.59	$504.99	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.91 / $435.43 / $801.25	Professional		$321.91	$435.43	$801.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.02 / $363.64 / $448.48	Professional		$303.02	$363.64	$448.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $341.90 / $450.14 / $642.00	Facility		$341.90	$450.14	$642.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.00 / $467.00 / $743.52	Professional		$407.00	$467.00	$743.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $322.54 / $438.25 / $3,512.00	Facility		$322.54	$438.25	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $322.54 / $438.25 / $3,512.00	Professional		$322.54	$438.25	$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 $279.70 / $460.60 / $693.75	Professional		$279.70	$460.60	$693.75