Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.01 / $3,645.00 / $8,294.00	Facility		$411.01	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.57 / $401.10 / $498.59	Professional		$354.57	$401.10	$498.59
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 $329.45 / $421.30 / $577.80	Professional		$329.45	$421.30	$577.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.09 / $571.15 / $3,426.00	Professional		$398.09	$571.15	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.52 / $474.02 / $877.92	Professional		$350.52	$474.02	$877.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.97 / $410.36 / $506.12	Professional		$341.97	$410.36	$506.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $390.90 / $489.07 / $720.16	Facility		$390.90	$489.07	$720.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $443.00 / $504.11 / $838.13	Professional		$443.00	$504.11	$838.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $351.96 / $473.50 / $3,512.00	Facility		$351.96	$473.50	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $351.96 / $473.50 / $3,512.00	Professional		$351.96	$473.50	$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 $302.17 / $444.83 / $771.63	Professional		$302.17	$444.83	$771.63