Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.45 / $4,771.00 / $9,347.59	Facility		$829.45	$4,771.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.69 / $733.84 / $891.10	Professional		$639.69	$733.84	$891.10
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 $583.27 / $755.35 / $1,248.82	Professional		$583.27	$755.35	$1,248.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $729.24 / $729.24 / $3,714.00	Professional		$729.24	$729.24	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,048.86	Facility		$776.00	$776.00	$1,048.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.95 / $880.35 / $1,585.88	Professional		$612.95	$880.35	$1,585.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.41 / $951.71 / $1,124.75	Professional		$735.41	$951.71	$1,124.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $687.64 / $909.61 / $1,389.13	Facility		$687.64	$909.61	$1,389.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $909.00 / $1,065.00 / $1,509.17	Professional		$909.00	$1,065.00	$1,509.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $533.04 / $798.74 / $1,683.00	Facility		$533.04	$798.74	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $633.88 / $957.93 / $1,988.85	Professional		$633.88	$957.93	$1,988.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.15 / $866.25 / $1,430.60	Professional		$555.15	$866.25	$1,430.60