Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.73 / $3,116.00 / $7,275.00	Facility		$435.73	$3,116.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $383.24 / $606.99	Professional		$238.03	$383.24	$606.99
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 $240.01 / $306.93 / $420.95	Professional		$240.01	$306.93	$420.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $360.02 / $460.39 / $631.42	Professional	50	$360.02	$460.39	$631.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $282.57 / $413.14 / $3,426.00	Professional		$282.57	$413.14	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.37 / $434.72 / $749.36	Professional		$264.37	$434.72	$749.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.04 / $463.25 / $571.44	Professional		$386.04	$463.25	$571.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $287.11 / $455.54 / $675.82	Facility		$287.11	$455.54	$675.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $553.00 / $818.00	Professional		$469.00	$553.00	$818.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $247.33 / $331.49 / $1,854.70	Facility		$247.33	$331.49	$1,854.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $347.45 / $518.14 / $1,893.72	Professional		$347.45	$518.14	$1,893.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.93 / $501.66 / $863.42	Professional		$304.93	$501.66	$863.42