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 $658.00 / $757.89 / $1,014.02	Professional		$658.00	$757.89	$1,014.02
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 $673.66 / $861.46 / $1,424.25	Professional		$673.66	$861.46	$1,424.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $784.86 / $821.95 / $9,951.00	Professional		$784.86	$821.95	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $822.09	Facility		$420.00	$420.00	$822.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.68 / $953.87 / $1,577.32	Professional		$711.68	$953.87	$1,577.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.32 / $888.73 / $1,049.98	Professional		$694.32	$888.73	$1,049.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $702.10 / $933.39 / $1,386.94	Facility		$702.10	$933.39	$1,386.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $1,014.02 / $1,397.00	Professional		$893.00	$1,014.02	$1,397.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $672.80 / $916.69 / $3,070.01	Facility		$672.80	$916.69	$3,070.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $672.80 / $916.69 / $3,070.01	Professional		$672.80	$916.69	$3,070.01
United Facility/Professional Facility Modifier Low / Median / High Price $5,061.00 / $8,168.84 / $17,187.00	Facility		$5,061.00	$8,168.84	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.84 / $880.04 / $1,411.31	Professional		$557.84	$880.04	$1,411.31