Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.94 / $3,633.00 / $8,294.00	Facility		$440.94	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.82 / $440.94 / $690.61	Professional		$303.82	$440.94	$690.61
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 $322.38 / $412.26 / $572.46	Professional		$322.38	$412.26	$572.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $372.66 / $726.69 / $4,284.00	Professional		$372.66	$726.69	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.15 / $581.15 / $581.15	Facility		$581.15	$581.15	$581.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.90 / $511.27 / $898.72	Professional		$334.90	$511.27	$898.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.90 / $578.71 / $731.86	Professional		$491.90	$578.71	$731.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $303.82 / $496.03 / $852.18	Facility		$303.82	$496.03	$852.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $614.00 / $673.00 / $952.00	Professional		$614.00	$673.00	$952.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $321.69 / $428.31 / $7,420.00	Facility		$321.69	$428.31	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $404.63 / $625.29 / $7,420.00	Professional		$404.63	$625.29	$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 $354.53 / $495.83 / $882.36	Professional		$354.53	$495.83	$882.36