Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.15 / $3,991.00 / $8,920.00	Facility		$717.15	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.94 / $666.75 / $717.67	Professional		$561.94	$666.75	$717.67
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 $588.65 / $760.10 / $1,055.34	Professional		$588.65	$760.10	$1,055.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $594.48 / $683.65 / $4,716.00	Professional		$594.48	$683.65	$4,716.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.16 / $736.16 / $736.16	Facility		$736.16	$736.16	$736.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.23 / $692.74 / $1,295.29	Professional		$567.23	$692.74	$1,295.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.78 / $762.13 / $907.30	Professional		$685.78	$762.13	$907.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $541.52 / $717.16 / $1,015.52	Facility		$541.52	$717.16	$1,015.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $708.00 / $819.25 / $1,399.00	Professional		$708.00	$819.25	$1,399.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $593.28 / $779.30 / $3,123.00	Facility		$593.28	$779.30	$3,123.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $593.28 / $779.30 / $3,123.00	Professional		$593.28	$779.30	$3,123.00
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 $463.84 / $671.27 / $1,149.83	Professional		$463.84	$671.27	$1,149.83