Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.65 / $5,087.00 / $8,294.00	Facility		$755.65	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.60 / $709.88 / $945.56	Professional		$572.60	$709.88	$945.56
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 $624.54 / $806.04 / $1,332.62	Professional		$624.54	$806.04	$1,332.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $733.92 / $770.29 / $1,387.11	Professional		$733.92	$770.29	$1,387.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $769.64	Facility		$640.00	$640.00	$769.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.26 / $846.66 / $1,471.17	Professional		$639.26	$846.66	$1,471.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.33 / $833.07 / $984.54	Professional		$650.33	$833.07	$984.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $699.22 / $885.14 / $1,328.97	Facility		$699.22	$885.14	$1,328.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $814.00 / $927.00 / $1,260.00	Professional		$814.00	$927.00	$1,260.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $616.02 / $823.40 / $2,923.59	Facility		$616.02	$823.40	$2,923.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $616.02 / $823.40 / $2,923.59	Professional		$616.02	$823.40	$2,923.59
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $517.53 / $812.91 / $1,294.08	Professional		$517.53	$812.91	$1,294.08