Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.99 / $3,226.00 / $8,294.00	Facility		$334.99	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.62 / $383.80 / $493.99	Professional		$301.62	$383.80	$493.99
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 $330.70 / $424.77 / $600.29	Professional		$330.70	$424.77	$600.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $414.50 / $837.49 / $3,426.00	Professional		$414.50	$837.49	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.86 / $611.86 / $611.86	Facility		$611.86	$611.86	$611.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.04 / $452.62 / $726.79	Professional		$333.04	$452.62	$726.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.70 / $425.53 / $545.85	Professional		$361.70	$425.53	$545.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $319.89 / $447.22 / $679.14	Facility		$319.89	$447.22	$679.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $466.00 / $535.00 / $728.40	Professional		$466.00	$535.00	$728.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $342.47 / $457.89 / $7,420.00	Facility		$342.47	$457.89	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $353.68 / $475.92 / $7,420.00	Professional		$353.68	$475.92	$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 $275.37 / $372.82 / $682.85	Professional		$275.37	$372.82	$682.85