Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.34 / $4,390.00 / $8,920.00	Facility		$599.34	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.49 / $599.34 / $843.07	Professional		$484.49	$599.34	$843.07
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 $548.07 / $716.44 / $1,184.49	Professional		$548.07	$716.44	$1,184.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $636.38 / $636.38 / $5,113.00	Professional		$636.38	$636.38	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $963.94	Facility		$640.00	$640.00	$963.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.61 / $741.01 / $1,366.85	Professional		$455.61	$741.01	$1,366.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.10 / $934.48 / $1,104.39	Professional		$722.10	$934.48	$1,104.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $544.67 / $709.76 / $1,106.85	Facility		$544.67	$709.76	$1,106.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $682.00 / $797.00 / $1,419.00	Professional		$682.00	$797.00	$1,419.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $399.92 / $639.70 / $2,190.64	Facility		$399.92	$639.70	$2,190.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $466.30 / $786.21 / $2,718.18	Professional		$466.30	$786.21	$2,718.18
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 $420.50 / $688.50 / $1,222.66	Professional		$420.50	$688.50	$1,222.66