Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.11 / $3,645.00 / $8,294.00	Facility		$999.11	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.57 / $605.34 / $797.75	Professional		$511.57	$605.34	$797.75
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 $530.32 / $686.18 / $1,134.46	Professional		$530.32	$686.18	$1,134.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $601.36 / $657.08 / $1,136.57	Professional		$601.36	$657.08	$1,136.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $655.05	Facility		$572.00	$572.00	$655.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.48 / $741.42 / $1,243.53	Professional		$555.48	$741.42	$1,243.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.65 / $710.49 / $839.67	Professional		$553.65	$710.49	$839.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $589.02 / $752.99 / $1,091.40	Facility		$589.02	$752.99	$1,091.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $689.00 / $793.00 / $1,105.00	Professional		$689.00	$793.00	$1,105.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $555.33 / $719.35 / $2,470.96	Facility		$555.33	$719.35	$2,470.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $555.33 / $719.35 / $2,470.96	Professional		$555.33	$719.35	$2,470.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.45 / $670.76 / $1,074.33	Professional		$437.45	$670.76	$1,074.33