Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.45 / $4,771.00 / $8,920.00	Facility		$272.45	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.01 / $272.45 / $425.03	Professional		$214.01	$272.45	$425.03
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 $235.71 / $301.43 / $413.41	Professional		$235.71	$301.43	$413.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $285.37 / $396.62 / $4,716.00	Professional		$285.37	$396.62	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.74 / $337.15 / $622.40	Professional		$243.74	$337.15	$622.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.02 / $288.02 / $355.23	Professional		$240.02	$288.02	$355.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $237.23 / $334.38 / $498.60	Facility		$237.23	$334.38	$498.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $350.11 / $587.00	Professional		$307.00	$350.11	$587.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $258.22 / $332.30 / $3,512.00	Facility		$258.22	$332.30	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $258.22 / $332.30 / $3,512.00	Professional		$258.22	$332.30	$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 $198.51 / $343.53 / $550.24	Professional		$198.51	$343.53	$550.24