Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,561.00 / $8,920.00	Facility		$812.00	$2,561.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.32 / $345.55 / $420.41	Professional		$278.32	$345.55	$420.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49,208.00 / $62,509.00 / $67,760.00	Facility		$49,208.00	$62,509.00	$67,760.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.51 / $374.92 / $619.85	Professional		$289.51	$374.92	$619.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $358.39 / $358.83 / $15,406.00	Professional		$358.39	$358.83	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $357.11 / $420.00	Facility		$357.11	$357.11	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.42 / $383.85 / $705.19	Professional		$291.42	$383.85	$705.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.07 / $386.12 / $456.33	Professional		$300.07	$386.12	$456.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $297.68 / $399.88 / $598.29	Facility		$297.68	$399.88	$598.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $433.65 / $596.00	Professional		$375.00	$433.65	$596.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $301.74 / $407.05 / $1,459.78	Facility		$301.74	$407.05	$1,459.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $301.74 / $407.05 / $1,459.78	Professional		$301.74	$407.05	$1,459.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $25,197.00 / $46,138.00	Facility		$7,621.00	$25,197.00	$46,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.20 / $375.09 / $603.09	Professional		$239.20	$375.09	$603.09