Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.26 / $3,633.00 / $8,920.00	Facility		$737.26	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.70 / $704.58 / $868.04	Professional		$603.70	$704.58	$868.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.69 / $745.13 / $1,231.92	Professional		$582.69	$745.13	$1,231.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $706.70 / $777.37 / $1,095.38	Professional		$706.70	$777.37	$1,095.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $782.81	Facility		$640.00	$640.00	$782.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.67 / $900.30 / $1,441.25	Professional		$655.67	$900.30	$1,441.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $647.49 / $818.09 / $958.29	Professional		$647.49	$818.09	$958.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $704.58 / $904.27 / $1,253.33	Facility		$704.58	$904.27	$1,253.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $1,190.11 / $1,589.21	Professional		$874.00	$1,190.11	$1,589.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $878.03 / $1,529.52	Facility		$670.25	$878.03	$1,529.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $878.03 / $1,529.52	Professional		$670.25	$878.03	$1,529.52
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $845.01 / $1,251.14	Professional		$540.80	$845.01	$1,251.14