Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.85 / $5,087.00 / $8,294.00	Facility		$805.85	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.18 / $756.55 / $1,012.09	Professional		$656.18	$756.55	$1,012.09
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 $665.41 / $859.49 / $1,420.99	Professional		$665.41	$859.49	$1,420.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $783.06 / $820.10 / $4,117.00	Professional		$783.06	$820.10	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $820.59	Facility		$640.00	$640.00	$820.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.36 / $914.51 / $1,573.55	Professional		$710.36	$914.51	$1,573.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $693.03 / $887.08 / $1,048.14	Professional		$693.03	$887.08	$1,048.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $749.97 / $951.28 / $1,384.49	Facility		$749.97	$951.28	$1,384.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $1,009.12 / $1,394.00	Professional		$891.00	$1,009.12	$1,394.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $695.30 / $913.16 / $3,376.56	Facility		$695.30	$913.16	$3,376.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $695.30 / $913.16 / $3,376.56	Professional		$695.30	$913.16	$3,376.56
United Facility/Professional Facility Modifier Low / Median / High Price $7,381.00 / $12,350.00 / $26,537.00	Facility		$7,381.00	$12,350.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.52 / $882.88 / $1,362.48	Professional		$556.52	$882.88	$1,362.48