Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.52 / $3,912.00 / $8,920.00	Facility		$366.52	$3,912.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.55 / $366.52 / $595.88	Professional		$284.55	$366.52	$595.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.77 / $401.25 / $550.30	Professional		$313.77	$401.25	$550.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $399.70 / $452.21 / $787.33	Professional		$399.70	$452.21	$787.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.61 / $434.96 / $829.66	Professional		$321.61	$434.96	$829.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.26 / $384.31 / $473.98	Professional		$320.26	$384.31	$473.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $315.57 / $446.27 / $641.71	Facility		$315.57	$446.27	$641.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $462.00 / $793.75	Professional		$406.00	$462.00	$793.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $324.18 / $436.67 / $1,683.00	Facility		$324.18	$436.67	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $324.18 / $436.67 / $1,683.00	Professional		$324.18	$436.67	$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 $275.39 / $427.51 / $733.13	Professional		$275.39	$427.51	$733.13