Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.23 / $5,328.00 / $9,347.59	Facility		$973.23	$5,328.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.42 / $589.20 / $752.18	Professional		$480.42	$589.20	$752.18
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 $515.90 / $668.10 / $1,104.56	Professional		$515.90	$668.10	$1,104.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $583.69 / $639.76 / $3,714.00	Professional		$583.69	$639.76	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.95 / $637.95 / $776.00	Facility		$637.95	$637.95	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.45 / $690.13 / $1,212.27	Professional		$530.45	$690.13	$1,212.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $539.12 / $691.92 / $817.73	Professional		$539.12	$691.92	$817.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $550.30 / $704.12 / $1,043.78	Facility		$550.30	$704.12	$1,043.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $754.00 / $1,045.00	Professional		$670.00	$754.00	$1,045.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $539.13 / $674.56 / $2,408.81	Facility		$539.13	$674.56	$2,408.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $539.13 / $674.56 / $2,408.81	Professional		$539.13	$674.56	$2,408.81
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 $419.29 / $671.11 / $1,068.54	Professional		$419.29	$671.11	$1,068.54