Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.16 / $3,633.00 / $7,275.00	Facility		$988.16	$3,633.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.98 / $593.54 / $1,088.08	Professional		$471.98	$593.54	$1,088.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.77 / $630.37 / $1,042.19	Professional		$486.77	$630.37	$1,042.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $570.29 / $599.33 / $3,448.00	Professional		$570.29	$599.33	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $601.70	Facility		$572.00	$572.00	$601.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.39 / $621.39 / $1,156.22	Professional		$444.39	$621.39	$1,156.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.97 / $648.91 / $763.53	Professional		$506.97	$648.91	$763.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $506.97 / $653.16 / $981.34	Facility		$506.97	$653.16	$981.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $607.00 / $731.00 / $1,045.00	Professional		$607.00	$731.00	$1,045.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $432.56 / $647.35 / $2,297.40	Facility		$432.56	$647.35	$2,297.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $432.56 / $647.35 / $2,297.40	Professional		$432.56	$647.35	$2,297.40
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 $351.77 / $591.13 / $978.89	Professional		$351.77	$591.13	$978.89