Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.02 / $5,087.00 / $8,294.00	Facility		$662.02	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.55 / $631.78 / $834.47	Professional		$575.55	$631.78	$834.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.25 / $716.44 / $1,184.49	Professional		$560.25	$716.44	$1,184.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $647.33 / $685.89 / $4,117.00	Professional		$647.33	$685.89	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $684.46	Facility		$640.00	$640.00	$684.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.95 / $863.43 / $1,299.73	Professional		$592.95	$863.43	$1,299.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.49 / $742.21 / $877.16	Professional		$578.49	$742.21	$877.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $631.78 / $819.10 / $1,211.50	Facility		$631.78	$819.10	$1,211.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $733.00 / $882.53 / $1,160.00	Professional		$733.00	$882.53	$1,160.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $597.27 / $811.68 / $2,582.71	Facility		$597.27	$811.68	$2,582.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $597.27 / $811.68 / $2,582.71	Professional		$597.27	$811.68	$2,582.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.99 / $786.42 / $1,184.74	Professional		$493.99	$786.42	$1,184.74