Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.68 / $4,771.00 / $9,539.00	Facility		$314.68	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.20 / $273.06 / $314.68	Professional		$251.20	$273.06	$314.68
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 $256.92 / $328.55 / $450.60	Professional		$256.92	$328.55	$450.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.72 / $387.23 / $674.19	Professional		$323.72	$387.23	$674.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.95 / $371.89 / $696.82	Professional		$268.95	$371.89	$696.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.22 / $308.66 / $380.69	Professional		$257.22	$308.66	$380.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $273.06 / $379.88 / $571.05	Facility		$273.06	$379.88	$571.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $402.00 / $636.48	Professional		$345.00	$402.00	$636.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $273.19 / $368.85 / $670.61	Facility		$273.19	$368.85	$670.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $273.19 / $368.85 / $670.61	Professional		$273.19	$368.85	$670.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.30 / $381.41 / $597.64	Professional		$231.30	$381.41	$597.64