Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,561.00 / $8,294.00	Facility		$812.00	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.35 / $566.77 / $746.37	Professional		$484.35	$566.77	$746.37
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 $502.78 / $642.95 / $1,062.98	Professional		$502.78	$642.95	$1,062.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $579.71 / $616.07 / $5,113.00	Professional		$579.71	$616.07	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $614.51	Facility		$420.00	$420.00	$614.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.50 / $698.64 / $1,164.59	Professional		$524.50	$698.64	$1,164.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.46 / $666.95 / $788.22	Professional		$519.46	$666.95	$788.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.21 / $686.30 / $1,027.41	Facility		$524.21	$686.30	$1,027.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $748.00 / $1,032.00	Professional		$658.00	$748.00	$1,032.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $491.60 / $675.30 / $1,683.00	Facility		$491.60	$675.30	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $491.60 / $675.30 / $1,683.00	Professional		$491.60	$675.30	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.96 / $641.58 / $1,026.94	Professional		$410.96	$641.58	$1,026.94