Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.76 / $5,087.00 / $8,294.00	Facility		$885.76	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.47 / $815.13 / $1,000.05	Professional		$690.47	$815.13	$1,000.05
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 $721.54 / $931.69 / $1,293.58	Professional		$721.54	$931.69	$1,293.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $777.70 / $857.89 / $7,369.00	Professional		$777.70	$857.89	$7,369.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.69 / $901.69 / $901.69	Facility		$901.69	$901.69	$901.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.55 / $889.79 / $1,587.45	Professional		$701.55	$889.79	$1,587.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.60 / $931.12 / $1,108.48	Professional		$839.60	$931.12	$1,108.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $697.10 / $901.25 / $1,294.49	Facility		$697.10	$901.25	$1,294.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $1,082.00 / $1,853.00	Professional		$910.00	$1,082.00	$1,853.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $716.47 / $953.16 / $3,398.99	Facility		$716.47	$953.16	$3,398.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $716.47 / $953.16 / $3,398.99	Professional		$716.47	$953.16	$3,398.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.54 / $810.53 / $1,353.67	Professional		$560.54	$810.53	$1,353.67