Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $5,087.00 / $8,294.00	Facility		$723.84	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.32 / $687.64 / $914.69	Professional		$592.32	$687.64	$914.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.22 / $780.50 / $1,290.40	Professional		$603.22	$780.50	$1,290.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $709.17 / $746.00 / $7,889.00	Professional		$709.17	$746.00	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $746.20	Facility		$640.00	$640.00	$746.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.99 / $806.07 / $1,421.94	Professional		$639.99	$806.07	$1,421.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.40 / $807.88 / $954.77	Professional		$630.40	$807.88	$954.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $672.28 / $852.77 / $1,231.74	Facility		$672.28	$852.77	$1,231.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $914.00 / $1,262.00	Professional		$800.00	$914.00	$1,262.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $819.52 / $2,825.69	Facility		$618.21	$819.52	$2,825.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $618.21 / $819.52 / $2,825.69	Professional		$618.21	$819.52	$2,825.69
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 $500.21 / $774.81 / $1,231.19	Professional		$500.21	$774.81	$1,231.19