Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.99 / $3,645.00 / $8,294.00	Facility		$522.99	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.67 / $408.23 / $578.69	Professional		$320.67	$408.23	$578.69
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 $368.89 / $473.81 / $669.59	Professional		$368.89	$473.81	$669.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $440.32 / $858.62 / $3,426.00	Professional		$440.32	$858.62	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.45 / $457.45 / $457.45	Facility		$457.45	$457.45	$457.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.41 / $487.72 / $773.81	Professional		$362.41	$487.72	$773.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.32 / $449.79 / $577.16	Professional		$382.32	$449.79	$577.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $377.25 / $501.23 / $752.40	Facility		$377.25	$501.23	$752.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $568.00 / $771.17	Professional		$511.00	$568.00	$771.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $363.83 / $505.66 / $8,098.00	Facility		$363.83	$505.66	$8,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $363.83 / $505.66 / $8,098.00	Professional		$363.83	$505.66	$8,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.05 / $401.24 / $715.26	Professional		$300.05	$401.24	$715.26