Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.67 / $5,087.00 / $8,294.00	Facility		$698.67	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $659.17 / $874.08	Professional		$562.79	$659.17	$874.08
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 $577.80 / $748.27 / $1,237.10	Professional		$577.80	$748.27	$1,237.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $678.59 / $715.77 / $3,714.00	Professional		$678.59	$715.77	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $714.96	Facility		$640.00	$640.00	$714.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.63 / $761.71 / $1,361.15	Professional		$605.63	$761.71	$1,361.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.12 / $774.64 / $915.49	Professional		$604.12	$774.64	$915.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $643.67 / $811.30 / $1,173.31	Facility		$643.67	$811.30	$1,173.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $764.00 / $874.07 / $1,208.00	Professional		$764.00	$874.07	$1,208.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $777.99 / $2,704.82	Facility		$578.00	$777.99	$2,704.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $578.00 / $777.99 / $2,704.82	Professional		$578.00	$777.99	$2,704.82
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 $484.82 / $771.50 / $1,216.84	Professional		$484.82	$771.50	$1,216.84