Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.82 / $3,633.00 / $8,294.00	Facility		$320.82	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.25 / $377.30 / $475.12	Professional		$315.25	$377.30	$475.12
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 $275.32 / $380.32 / $551.25	Professional		$275.32	$380.32	$551.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $446.00 / $916.00	Professional		$310.05	$446.00	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.17 / $467.18 / $821.70	Professional		$293.17	$467.18	$821.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.33 / $436.00 / $537.73	Professional		$363.33	$436.00	$537.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.82 / $481.36 / $776.16	Facility		$320.82	$481.36	$776.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $528.00 / $653.66 / $878.00	Professional		$528.00	$653.66	$878.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $274.58 / $370.47 / $3,512.00	Facility		$274.58	$370.47	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $393.53 / $587.45 / $3,512.00	Professional		$393.53	$587.45	$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 $340.40 / $652.20 / $917.54	Professional		$340.40	$652.20	$917.54