Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.78 / $2,561.00 / $8,920.00	Facility		$252.78	$2,561.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.37 / $252.78 / $377.56	Professional		$221.37	$252.78	$377.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.43 / $296.72 / $482.82	Professional		$229.43	$296.72	$482.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.45 / $531.26 / $6,694.00	Professional		$269.45	$531.26	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.83 / $420.83 / $420.83	Facility		$420.83	$420.83	$420.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $453.05 / $733.01	Professional		$259.70	$453.05	$733.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.24 / $322.64 / $413.07	Professional		$274.24	$322.64	$413.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.29 / $394.19 / $845.06	Facility		$251.29	$394.19	$845.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $548.00 / $832.00	Professional		$358.00	$548.00	$832.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $267.74 / $580.58 / $9,210.00	Facility		$267.74	$580.58	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $628.91 / $9,210.00	Professional		$308.00	$628.91	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.82 / $417.48 / $672.95	Professional		$224.82	$417.48	$672.95