Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.67 / $3,912.00 / $8,920.00	Facility		$689.67	$3,912.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.28 / $652.49 / $862.85	Professional		$559.28	$652.49	$862.85
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 $571.44 / $740.02 / $1,223.47	Professional		$571.44	$740.02	$1,223.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $670.72 / $708.52 / $6,433.00	Professional		$670.72	$708.52	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $707.88	Facility		$640.00	$640.00	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.54 / $760.94 / $1,343.72	Professional		$587.54	$760.94	$1,343.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $598.24 / $767.72 / $907.31	Professional		$598.24	$767.72	$907.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $603.50 / $782.56 / $1,155.54	Facility		$603.50	$782.56	$1,155.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $761.00 / $863.00 / $1,194.00	Professional		$761.00	$863.00	$1,194.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $550.83 / $777.71 / $2,670.18	Facility		$550.83	$777.71	$2,670.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $550.83 / $777.71 / $2,670.18	Professional		$550.83	$777.71	$2,670.18
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 $463.28 / $741.24 / $1,184.16	Professional		$463.28	$741.24	$1,184.16