Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.53 / $3,633.00 / $7,275.00	Facility		$336.53	$3,633.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.52 / $336.53 / $532.11	Professional		$233.52	$336.53	$532.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,714.00 / $9,239.00 / $22,034.00	Facility		$6,714.00	$9,239.00	$22,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $399.85 / $612.95	Professional		$283.27	$399.85	$612.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $301.31 / $337.47 / $4,117.00	Professional		$301.31	$337.47	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.23 / $490.23 / $490.23	Facility		$490.23	$490.23	$490.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.88 / $483.82 / $779.55	Professional		$291.88	$483.82	$779.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.16 / $482.70 / $557.01	Professional		$386.16	$482.70	$557.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $317.69 / $445.55 / $684.37	Facility		$317.69	$445.55	$684.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $586.00 / $853.00	Professional		$452.00	$586.00	$853.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $285.45 / $423.28 / $805.03	Facility		$285.45	$423.28	$805.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $409.47 / $541.89 / $1,136.75	Professional		$409.47	$541.89	$1,136.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $4,428.00	Facility		$1,066.00	$1,893.00	$4,428.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.82 / $529.30 / $831.33	Professional		$330.82	$529.30	$831.33