Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.75 / $4,374.39 / $8,920.00	Facility		$432.75	$4,374.39	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.34 / $432.75 / $844.99	Professional		$386.34	$432.75	$844.99
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 $346.05 / $442.52 / $606.91	Professional		$346.05	$442.52	$606.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $438.86 / $654.47 / $4,716.00	Professional		$438.86	$654.47	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.01 / $513.61 / $926.40	Professional		$382.01	$513.61	$926.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.60 / $431.52 / $532.21	Professional		$359.60	$431.52	$532.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $409.99 / $518.87 / $714.50	Facility		$409.99	$518.87	$714.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $450.76 / $530.29 / $880.49	Professional		$450.76	$530.29	$880.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $384.34 / $501.86 / $1,796.41	Facility		$384.34	$501.86	$1,796.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $384.34 / $501.86 / $1,796.41	Professional		$384.34	$501.86	$1,796.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,827.00 / $5,790.00	Facility		$1,629.00	$2,827.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.14 / $535.79 / $811.18	Professional		$326.14	$535.79	$811.18