Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.75 / $2,561.00 / $8,294.00	Facility		$448.75	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.31 / $300.87 / $362.77	Professional		$235.31	$300.87	$362.77
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 $235.10 / $300.64 / $497.06	Professional		$235.10	$300.64	$497.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.63 / $275.63 / $2,012.00	Professional		$275.63	$275.63	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $420.00	Facility		$293.24	$293.24	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.26 / $358.49 / $733.55	Professional		$252.26	$358.49	$733.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.11 / $315.02 / $364.24	Professional		$246.11	$315.02	$364.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $270.81 / $382.91 / $962.65	Facility		$270.81	$382.91	$962.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $385.86 / $786.00	Professional		$336.00	$385.86	$786.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $257.95 / $349.09 / $1,285.00	Facility		$257.95	$349.09	$1,285.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $273.91 / $413.44 / $1,285.00	Professional		$273.91	$413.44	$1,285.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $408.33 / $915.02	Professional		$219.14	$408.33	$915.02