Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.42 / $4,740.00 / $8,294.00	Facility		$268.42	$4,740.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.28 / $305.45 / $570.47	Professional		$167.28	$305.45	$570.47
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 $180.51 / $319.55 / $479.04	Professional		$180.51	$319.55	$479.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $303.80 / $3,426.00	Professional		$200.67	$303.80	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.93 / $354.06 / $633.85	Professional		$207.93	$354.06	$633.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.81 / $392.17 / $483.68	Professional		$326.81	$392.17	$483.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.99 / $345.17 / $582.96	Facility		$206.99	$345.17	$582.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $394.00 / $449.00 / $654.50	Professional		$394.00	$449.00	$654.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $192.16 / $252.95 / $3,512.00	Facility		$192.16	$252.95	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $333.83 / $446.25 / $3,512.00	Professional		$333.83	$446.25	$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 $281.33 / $484.58 / $733.56	Professional		$281.33	$484.58	$733.56