Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.04 / $3,484.00 / $8,294.00	Facility		$767.04	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.19 / $660.07 / $795.21	Professional		$557.19	$660.07	$795.21
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 $535.32 / $693.25 / $1,146.15	Professional		$535.32	$693.25	$1,146.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $538.50 / $538.50 / $4,039.00	Professional		$538.50	$538.50	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $959.91	Facility		$572.00	$572.00	$959.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.33 / $808.25 / $1,441.60	Professional		$550.33	$808.25	$1,441.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.89 / $879.86 / $1,039.83	Professional		$679.89	$879.86	$1,039.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.14 / $808.63 / $1,242.86	Facility		$616.14	$808.63	$1,242.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $838.00 / $972.00 / $1,385.33	Professional		$838.00	$972.00	$1,385.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $496.50 / $733.35 / $1,683.00	Facility		$496.50	$733.35	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $571.98 / $886.91 / $1,841.40	Professional		$571.98	$886.91	$1,841.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,819.00 / $5,764.00	Facility		$1,629.00	$2,819.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.29 / $794.73 / $1,335.94	Professional		$512.29	$794.73	$1,335.94