Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.99 / $5,087.00 / $8,294.00	Facility		$876.99	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.44 / $812.52 / $1,246.98	Professional		$710.44	$812.52	$1,246.98
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 $719.55 / $931.02 / $1,539.25	Professional		$719.55	$931.02	$1,539.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $859.82 / $887.55 / $6,433.00	Professional		$859.82	$887.55	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $886.03	Facility		$640.00	$640.00	$886.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.76 / $972.09 / $1,714.57	Professional		$754.76	$972.09	$1,714.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.13 / $957.61 / $1,130.03	Professional		$748.13	$957.61	$1,130.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $748.13 / $996.58 / $1,441.12	Facility		$748.13	$996.58	$1,441.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $949.00 / $1,091.78 / $1,530.00	Professional		$949.00	$1,091.78	$1,530.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $709.12 / $976.54 / $3,407.54	Facility		$709.12	$976.54	$3,407.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $709.12 / $976.54 / $3,407.54	Professional		$709.12	$976.54	$3,407.54
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 $586.16 / $898.79 / $1,527.43	Professional		$586.16	$898.79	$1,527.43