Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.72 / $3,484.00 / $8,294.00	Facility		$486.72	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $350.22 / $640.85	Professional		$213.80	$350.22	$640.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $256.24 / $427.76	Professional		$200.37	$256.24	$427.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $237.07 / $2,012.00	Professional		$211.67	$237.07	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.62 / $375.62 / $572.00	Facility		$375.62	$375.62	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $429.47 / $882.42	Professional		$219.81	$429.47	$882.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.28 / $555.78 / $656.83	Professional		$430.28	$555.78	$656.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $256.62 / $487.16 / $830.67	Facility		$256.62	$487.16	$830.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $511.58 / $645.00 / $835.00	Professional		$511.58	$645.00	$835.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $214.04 / $292.06 / $1,171.00	Facility		$214.04	$292.06	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $604.55 / $1,403.86	Professional		$402.62	$604.55	$1,403.86
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.62 / $632.49 / $1,116.16	Professional		$367.62	$632.49	$1,116.16