Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $4,796.00 / $9,789.85	Facility		$253.36	$4,796.00	$9,789.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.43 / $253.36 / $497.95	Professional		$208.43	$253.36	$497.95
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 $207.75 / $265.67 / $364.36	Professional		$207.75	$265.67	$364.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $253.33 / $338.80 / $4,284.00	Professional		$253.33	$338.80	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.98 / $298.05 / $560.99	Professional		$219.98	$298.05	$560.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.12 / $280.94 / $346.50	Professional		$234.12	$280.94	$346.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.12 / $293.12 / $429.40	Facility		$234.12	$293.12	$429.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $309.00 / $518.74	Professional		$269.00	$309.00	$518.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $222.53 / $287.64 / $3,512.00	Facility		$222.53	$287.64	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $236.40 / $308.29 / $3,512.00	Professional		$236.40	$308.29	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,145.00 / $13,521.00	Facility		$3,651.00	$6,145.00	$13,521.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.35 / $301.49 / $508.25	Professional		$194.35	$301.49	$508.25