Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.07 / $5,087.00 / $8,503.96	Facility		$982.07	$5,087.00	$8,503.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.29 / $594.33 / $891.42	Professional		$542.29	$594.33	$891.42
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 $527.05 / $674.00 / $1,114.32	Professional		$527.05	$674.00	$1,114.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $612.29 / $645.27 / $3,714.00	Professional		$612.29	$645.27	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $643.16	Facility		$640.00	$640.00	$643.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.22 / $812.24 / $1,224.42	Professional		$557.22	$812.24	$1,224.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.63 / $697.43 / $824.24	Professional		$543.63	$697.43	$824.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $586.96 / $750.25 / $1,176.75	Facility		$586.96	$750.25	$1,176.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $845.55 / $1,081.00	Professional		$687.00	$845.55	$1,081.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $551.95 / $763.32 / $2,428.61	Facility		$551.95	$763.32	$2,428.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $551.95 / $763.32 / $2,428.61	Professional		$551.95	$763.32	$2,428.61
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 $464.54 / $739.54 / $1,162.14	Professional		$464.54	$739.54	$1,162.14