Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.19 / $3,633.00 / $8,920.00	Facility		$347.19	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.19 / $459.89 / $615.66	Professional		$347.19	$459.89	$615.66
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 $407.93 / $541.00 / $764.54	Professional		$407.93	$541.00	$764.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $473.66 / $642.00 / $2,413.00	Professional		$473.66	$642.00	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.32 / $522.32 / $522.32	Facility		$522.32	$522.32	$522.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.96 / $505.79 / $868.82	Professional		$360.96	$505.79	$868.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.88 / $512.79 / $648.36	Professional		$435.88	$512.79	$648.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $519.84 / $821.62	Facility		$398.96	$519.84	$821.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $486.00 / $545.00 / $891.80	Professional		$486.00	$545.00	$891.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $396.95 / $527.60 / $1,463.18	Facility		$396.95	$527.60	$1,463.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $396.95 / $527.60 / $1,463.18	Professional		$396.95	$527.60	$1,463.18
United Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $819.00 / $2,375.00	Facility		$217.00	$819.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $425.32 / $684.46	Professional		$284.64	$425.32	$684.46