Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.33 / $4,796.00 / $9,539.00	Facility		$390.33	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.16 / $401.86 / $586.46	Professional		$350.16	$401.86	$586.46
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 $366.61 / $466.09 / $658.68	Professional		$366.61	$466.09	$658.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $432.76 / $843.88 / $2,764.00	Professional		$432.76	$843.88	$2,764.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $668.64 / $668.64 / $668.64	Facility		$668.64	$668.64	$668.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.87 / $516.73 / $824.05	Professional		$368.87	$516.73	$824.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.59 / $500.69 / $639.35	Professional		$425.59	$500.69	$639.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $386.35 / $520.28 / $770.47	Facility		$386.35	$520.28	$770.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $536.00 / $620.00 / $859.79	Professional		$536.00	$620.00	$859.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $374.88 / $493.39 / $3,440.00	Facility		$374.88	$493.39	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $419.20 / $549.49 / $3,440.00	Professional		$419.20	$549.49	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $426.92 / $759.73	Professional		$318.45	$426.92	$759.73