Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.74 / $5,087.00 / $8,294.00	Facility		$624.74	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.35 / $595.29 / $786.43	Professional		$495.35	$595.29	$786.43
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 $528.90 / $676.35 / $1,118.20	Professional		$528.90	$676.35	$1,118.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $608.72 / $657.42 / $5,113.00	Professional		$608.72	$657.42	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $646.51	Facility		$640.00	$640.00	$646.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.44 / $738.33 / $1,224.51	Professional		$554.44	$738.33	$1,224.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.49 / $701.88 / $829.49	Professional		$546.49	$701.88	$829.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $595.29 / $745.03 / $1,089.40	Facility		$595.29	$745.03	$1,089.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $792.00 / $1,088.00	Professional		$693.00	$792.00	$1,088.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $551.36 / $716.75 / $2,433.15	Facility		$551.36	$716.75	$2,433.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $551.36 / $716.75 / $2,433.15	Professional		$551.36	$716.75	$2,433.15
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 $435.01 / $699.05 / $1,093.74	Professional		$435.01	$699.05	$1,093.74