Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.09 / $4,771.00 / $8,920.00	Facility		$744.09	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.74 / $739.55 / $1,359.45	Professional		$600.74	$739.55	$1,359.45
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 $615.87 / $787.57 / $1,302.08	Professional		$615.87	$787.57	$1,302.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $717.80 / $747.39 / $3,448.00	Professional		$717.80	$747.39	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $754.01	Facility		$640.00	$640.00	$754.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.16 / $889.02 / $1,454.59	Professional		$652.16	$889.02	$1,454.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.29 / $811.90 / $958.01	Professional		$634.29	$811.90	$958.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $693.60 / $870.59 / $1,238.41	Facility		$693.60	$870.59	$1,238.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $931.00 / $1,372.75	Professional		$825.00	$931.00	$1,372.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $639.41 / $851.57 / $1,683.00	Facility		$639.41	$851.57	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $639.41 / $851.57 / $1,683.00	Professional		$639.41	$851.57	$1,683.00
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 $542.83 / $818.72 / $1,278.16	Professional		$542.83	$818.72	$1,278.16