Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.28 / $3,991.00 / $8,920.00	Facility		$400.28	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.47 / $391.53 / $400.28	Professional		$350.47	$391.53	$400.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,104.00 / $9,336.50 / $13,003.86	Facility		$4,104.00	$9,336.50	$13,003.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.71 / $467.67 / $641.40	Professional		$365.71	$467.67	$641.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $440.35 / $566.16 / $916.00	Professional		$440.35	$566.16	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.09 / $496.55 / $960.13	Professional		$378.09	$496.55	$960.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.87 / $442.64 / $545.92	Professional		$368.87	$442.64	$545.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $391.53 / $494.22 / $732.51	Facility		$391.53	$494.22	$732.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $458.00 / $536.00 / $857.00	Professional		$458.00	$536.00	$857.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $380.06 / $497.49 / $1,823.44	Facility		$380.06	$497.49	$1,823.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $380.06 / $497.49 / $1,823.44	Professional		$380.06	$497.49	$1,823.44
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 $318.70 / $524.86 / $799.55	Professional		$318.70	$524.86	$799.55