Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.06 / $3,832.00 / $9,620.00	Facility		$449.06	$3,832.00	$9,620.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.95 / $297.76 / $528.10	Professional		$266.95	$297.76	$528.10
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 $234.18 / $299.47 / $410.72	Professional		$234.18	$299.47	$410.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $277.88 / $398.10 / $5,895.00	Professional		$277.88	$398.10	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.04 / $371.44 / $836.97	Professional		$263.04	$371.44	$836.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.48 / $290.98 / $358.87	Professional		$242.48	$290.98	$358.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $277.41 / $385.30 / $828.16	Facility		$277.41	$385.30	$828.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $409.00 / $914.00	Professional		$330.00	$409.00	$914.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $271.14 / $355.55 / $6,585.00	Facility		$271.14	$355.55	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $283.19 / $388.78 / $6,585.00	Professional		$283.19	$388.78	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.67 / $424.09 / $1,911.38	Professional		$227.67	$424.09	$1,911.38