Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.13 / $3,633.00 / $8,920.00	Facility		$252.13	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.13 / $376.18 / $600.85	Professional		$252.13	$376.18	$600.85
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 $270.14 / $345.45 / $479.69	Professional		$270.14	$345.45	$479.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.55 / $603.62 / $3,426.00	Professional		$309.55	$603.62	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.81 / $483.81 / $483.81	Facility		$483.81	$483.81	$483.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $437.22 / $782.03	Professional		$273.00	$437.22	$782.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.86 / $502.19 / $631.30	Professional		$426.86	$502.19	$631.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $280.14 / $462.70 / $761.28	Facility		$280.14	$462.70	$761.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $556.00 / $623.00 / $839.00	Professional		$556.00	$623.00	$839.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $257.36 / $360.02 / $7,420.00	Facility		$257.36	$360.02	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $383.90 / $568.60 / $7,420.00	Professional		$383.90	$568.60	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.58 / $463.78 / $806.98	Professional		$332.58	$463.78	$806.98