Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.95 / $3,633.00 / $8,294.00	Facility		$294.95	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.89 / $295.14 / $482.63	Professional		$206.89	$295.14	$482.63
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 $214.82 / $274.70 / $381.46	Professional		$214.82	$274.70	$381.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $260.70 / $537.21 / $2,764.00	Professional		$260.70	$537.21	$2,764.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.80 / $392.80 / $392.80	Facility		$392.80	$392.80	$392.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.05 / $370.58 / $641.00	Professional		$228.05	$370.58	$641.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.76 / $406.78 / $516.28	Professional		$345.76	$406.78	$516.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $222.48 / $366.30 / $611.49	Facility		$222.48	$366.30	$611.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $449.00 / $506.00 / $677.00	Professional		$449.00	$506.00	$677.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $223.01 / $304.54 / $7,420.00	Facility		$223.01	$304.54	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $355.52 / $478.13 / $7,420.00	Professional		$355.52	$478.13	$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 $265.31 / $378.98 / $589.53	Professional		$265.31	$378.98	$589.53