Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.66 / $3,633.00 / $8,294.00	Facility		$623.66	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.83 / $623.66 / $749.71	Professional		$558.83	$623.66	$749.71
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 $570.27 / $754.19 / $1,066.26	Professional		$570.27	$754.19	$1,066.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $618.63 / $618.63 / $4,716.00	Professional		$618.63	$618.63	$4,716.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.45 / $1,005.45 / $1,005.45	Facility		$1,005.45	$1,005.45	$1,005.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.29 / $759.29 / $1,375.20	Professional		$579.29	$759.29	$1,375.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $752.98 / $842.47 / $1,002.94	Professional		$752.98	$842.47	$1,002.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $559.23 / $740.96 / $1,073.34	Facility		$559.23	$740.96	$1,073.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $940.00 / $1,398.05	Professional		$824.00	$940.00	$1,398.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $566.97 / $741.59 / $5,502.98	Facility		$566.97	$741.59	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $638.88 / $890.37 / $5,502.98	Professional		$638.88	$890.37	$5,502.98
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 $515.26 / $751.18 / $1,280.78	Professional		$515.26	$751.18	$1,280.78