Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $3,645.00 / $8,294.00	Facility		$484.32	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.06 / $484.32 / $580.70	Professional		$386.06	$484.32	$580.70
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 $398.90 / $510.11 / $843.36	Professional		$398.90	$510.11	$843.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $460.05 / $502.56 / $5,113.00	Professional		$460.05	$502.56	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.28 / $489.28 / $572.00	Facility		$489.28	$489.28	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.36 / $557.78 / $967.94	Professional		$406.36	$557.78	$967.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.70 / $520.58 / $614.26	Professional		$406.70	$520.58	$614.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $422.85 / $566.65 / $807.47	Facility		$422.85	$566.65	$807.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $529.00 / $605.50 / $843.00	Professional		$529.00	$605.50	$843.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $423.23 / $575.54 / $1,683.00	Facility		$423.23	$575.54	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $423.23 / $575.54 / $1,683.00	Professional		$423.23	$575.54	$1,683.00
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 $332.10 / $553.29 / $943.10	Professional		$332.10	$553.29	$943.10