Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.87 / $3,384.00 / $7,275.00	Facility		$381.87	$3,384.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.51 / $408.27 / $703.06	Professional		$330.51	$408.27	$703.06
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 $357.72 / $450.13 / $635.21	Professional		$357.72	$450.13	$635.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.52 / $813.89 / $3,426.00	Professional		$416.52	$813.89	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.05 / $646.05 / $646.05	Facility		$646.05	$646.05	$646.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.31 / $504.26 / $807.95	Professional		$357.31	$504.26	$807.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.64 / $483.11 / $618.09	Professional		$410.64	$483.11	$618.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $370.52 / $516.65 / $790.72	Facility		$370.52	$516.65	$790.72
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $766.50 / $924.00 / $1,853.75	Facility	50	$766.50	$924.00	$1,853.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $536.00 / $610.00 / $833.04	Professional		$536.00	$610.00	$833.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $368.47 / $489.24 / $7,420.00	Facility		$368.47	$489.24	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $400.14 / $543.03 / $7,420.00	Professional		$400.14	$543.03	$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 $313.92 / $417.63 / $719.10	Professional		$313.92	$417.63	$719.10