Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.39 / $4,771.00 / $8,920.00	Facility		$845.39	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.49 / $787.82 / $994.28	Professional		$661.49	$787.82	$994.28
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 $694.86 / $888.57 / $1,469.07	Professional		$694.86	$888.57	$1,469.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $825.22 / $852.13 / $3,019.00	Professional		$825.22	$852.13	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $849.99	Facility		$640.00	$640.00	$849.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.80 / $917.47 / $1,653.35	Professional		$721.80	$917.47	$1,653.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $719.25 / $920.64 / $1,085.31	Professional		$719.25	$920.64	$1,085.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $777.34 / $973.10 / $1,470.40	Facility		$777.34	$973.10	$1,470.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $868.00 / $1,042.00 / $1,403.00	Professional		$868.00	$1,042.00	$1,403.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $693.13 / $943.33 / $3,285.82	Facility		$693.13	$943.33	$3,285.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $693.13 / $943.33 / $3,285.82	Professional		$693.13	$943.33	$3,285.82
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 $581.62 / $918.39 / $1,472.39	Professional		$581.62	$918.39	$1,472.39