Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.69 / $3,633.00 / $8,294.00	Facility		$222.69	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $352.36 / $503.34	Professional		$187.67	$352.36	$503.34
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 $176.88 / $344.54 / $521.35	Professional		$176.88	$344.54	$521.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $716.12 / $1,102.23 / $1,181.44	Professional		$716.12	$1,102.23	$1,181.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $275.57	Professional		$275.57	$275.57	$275.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.96 / $354.30 / $426.71	Professional		$238.96	$354.30	$426.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.75 / $357.92 / $665.87	Facility		$190.75	$357.92	$665.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $428.00 / $704.00	Professional		$399.00	$428.00	$704.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $201.37 / $263.48 / $883.71	Facility		$201.37	$263.48	$883.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $447.35 / $589.03 / $1,232.46	Professional		$447.35	$589.03	$1,232.46
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.39 / $658.80 / $1,130.17	Professional		$409.39	$658.80	$1,130.17