Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.70 / $3,645.00 / $8,294.00	Facility		$303.70	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.75 / $301.20 / $378.89	Professional		$267.75	$301.20	$378.89
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 $243.40 / $311.26 / $426.89	Professional		$243.40	$311.26	$426.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $292.36 / $423.49 / $3,774.00	Professional		$292.36	$423.49	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.93 / $361.08 / $660.68	Professional		$268.93	$361.08	$660.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.53 / $303.04 / $373.74	Professional		$252.53	$303.04	$373.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $296.73 / $369.67 / $551.21	Facility		$296.73	$369.67	$551.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $379.00 / $618.98	Professional		$335.00	$379.00	$618.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $278.39 / $361.12 / $1,683.00	Facility		$278.39	$361.12	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $361.12 / $1,683.00	Professional		$278.39	$361.12	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.45 / $374.02 / $597.77	Professional		$221.45	$374.02	$597.77