Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.07 / $5,087.00 / $8,920.00	Facility		$576.07	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.11 / $551.96 / $690.79	Professional		$401.11	$551.96	$690.79
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 $478.62 / $625.66 / $1,034.40	Professional		$478.62	$625.66	$1,034.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $430.68 / $430.68 / $910.00	Professional		$430.68	$430.68	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.53 / $598.53 / $640.00	Facility		$598.53	$598.53	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.41 / $604.29 / $1,124.39	Professional		$479.41	$604.29	$1,124.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.21 / $650.66 / $768.96	Professional		$506.21	$650.66	$768.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $483.01 / $639.90 / $947.69	Facility		$483.01	$639.90	$947.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $544.00 / $668.00 / $979.00	Professional		$544.00	$668.00	$979.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $455.62 / $624.02 / $2,235.58	Facility		$455.62	$624.02	$2,235.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $455.62 / $624.02 / $2,235.58	Professional		$455.62	$624.02	$2,235.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.28 / $626.88 / $992.91	Professional		$394.28	$626.88	$992.91