Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.20 / $3,645.00 / $8,920.00	Facility		$316.20	$3,645.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.47 / $316.20 / $343.46	Professional		$261.47	$316.20	$343.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.70 / $321.87 / $441.44	Professional		$251.70	$321.87	$441.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $299.89 / $434.28 / $5,895.00	Professional		$299.89	$434.28	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.77 / $373.69 / $692.43	Professional		$277.77	$373.69	$692.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.69 / $312.83 / $385.82	Professional		$260.69	$312.83	$385.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $294.08 / $388.06 / $545.90	Facility		$294.08	$388.06	$545.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $352.00 / $399.00 / $639.74	Professional		$352.00	$399.00	$639.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.45 / $376.00 / $3,512.00	Facility		$275.45	$376.00	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $275.45 / $376.00 / $3,512.00	Professional		$275.45	$376.00	$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 $241.98 / $385.74 / $576.61	Professional		$241.98	$385.74	$576.61