Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.62 / $5,087.00 / $8,294.00	Facility		$666.62	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.03 / $629.26 / $833.96	Professional		$549.03	$629.26	$833.96
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 $558.41 / $714.08 / $1,180.58	Professional		$558.41	$714.08	$1,180.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $647.15 / $682.87 / $7,889.00	Professional		$647.15	$682.87	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $681.85	Facility		$640.00	$640.00	$681.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.66 / $798.00 / $1,300.32	Professional		$589.66	$798.00	$1,300.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.19 / $738.55 / $872.83	Professional		$576.19	$738.55	$872.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $629.26 / $785.62 / $1,151.55	Facility		$629.26	$785.62	$1,151.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $727.00 / $846.00 / $1,152.00	Professional		$727.00	$846.00	$1,152.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $593.91 / $769.52 / $2,583.87	Facility		$593.91	$769.52	$2,583.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $593.91 / $769.52 / $2,583.87	Professional		$593.91	$769.52	$2,583.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,192.00	Facility		$5,121.00	$8,621.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.93 / $742.66 / $1,144.55	Professional		$487.93	$742.66	$1,144.55