Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.25 / $3,226.00 / $8,294.00	Facility		$411.25	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.67 / $411.25 / $613.07	Professional		$343.67	$411.25	$613.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.15 / $488.41 / $689.24	Professional		$388.15	$488.41	$689.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $476.64 / $642.00 / $2,413.00	Professional		$476.64	$642.00	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.60 / $700.60 / $700.60	Facility		$700.60	$700.60	$700.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.86 / $526.77 / $869.09	Professional		$386.86	$526.77	$869.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.47 / $522.91 / $667.89	Professional		$444.47	$522.91	$667.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $402.58 / $549.65 / $835.38	Facility		$402.58	$549.65	$835.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $563.00 / $651.00 / $899.18	Professional		$563.00	$651.00	$899.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $375.17 / $518.70 / $2,498.00	Facility		$375.17	$518.70	$2,498.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $406.16 / $574.70 / $2,498.00	Professional		$406.16	$574.70	$2,498.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.14 / $454.64 / $759.35	Professional		$335.14	$454.64	$759.35