Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.72 / $3,645.00 / $8,294.00	Facility		$419.72	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.44 / $419.72 / $495.84	Professional		$337.44	$419.72	$495.84
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 $306.39 / $391.82 / $647.79	Professional		$306.39	$391.82	$647.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.21 / $387.43 / $3,448.00	Professional		$352.21	$387.43	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $572.00	Facility		$379.42	$379.42	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.10 / $466.78 / $746.44	Professional		$332.10	$466.78	$746.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $414.72 / $481.08	Professional		$324.00	$414.72	$481.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $343.13 / $498.16 / $719.36	Facility		$343.13	$498.16	$719.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $470.14 / $554.00 / $777.36	Professional		$470.14	$554.00	$777.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $338.23 / $492.54 / $1,518.92	Facility		$338.23	$492.54	$1,518.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $338.23 / $492.54 / $1,518.92	Professional		$338.23	$492.54	$1,518.92
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 $268.73 / $447.89 / $661.44	Professional		$268.73	$447.89	$661.44