Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.63 / $5,087.00 / $8,920.00	Facility		$706.63	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.38 / $451.07 / $543.74	Professional		$364.38	$451.07	$543.74
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 $374.00 / $488.89 / $808.28	Professional		$374.00	$488.89	$808.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $430.65 / $430.65 / $3,714.00	Professional		$430.65	$430.65	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.98 / $464.98 / $640.00	Facility		$464.98	$464.98	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.52 / $487.49 / $913.71	Professional		$367.52	$487.49	$913.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.14 / $504.10 / $595.75	Professional		$393.14	$504.10	$595.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $399.00 / $517.24 / $758.12	Facility		$399.00	$517.24	$758.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $475.65 / $564.00 / $786.00	Professional		$475.65	$564.00	$786.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $382.99 / $509.39 / $1,770.00	Facility		$382.99	$509.39	$1,770.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $382.99 / $509.39 / $1,770.00	Professional		$382.99	$509.39	$1,770.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.07 / $465.86 / $776.03	Professional		$298.07	$465.86	$776.03