Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $4,771.00 / $11,425.00	Facility		$256.08	$4,771.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $343.18 / $684.62	Professional		$231.34	$343.18	$684.62
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 $251.08 / $321.08 / $523.90	Professional		$251.08	$321.08	$523.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $308.73 / $621.67 / $2,413.00	Professional		$308.73	$621.67	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.32 / $451.32 / $451.32	Facility		$451.32	$451.32	$451.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.64 / $491.83 / $826.38	Professional		$275.64	$491.83	$826.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.64 / $324.29 / $414.50	Professional		$275.64	$324.29	$414.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $259.02 / $402.35 / $994.93	Facility		$259.02	$402.35	$994.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $550.00 / $1,003.00	Professional		$366.00	$550.00	$1,003.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $287.31 / $626.92 / $2,755.00	Facility		$287.31	$626.92	$2,755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $698.70 / $2,755.00	Professional		$310.58	$698.70	$2,755.00
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 $227.26 / $434.12 / $794.19	Professional		$227.26	$434.12	$794.19