Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.13 / $5,087.00 / $8,294.00	Facility		$765.13	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.86 / $730.56 / $971.07	Professional		$630.86	$730.56	$971.07
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 $646.40 / $828.05 / $1,369.01	Professional		$646.40	$828.05	$1,369.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $747.76 / $792.03 / $4,117.00	Professional		$747.76	$792.03	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $791.96	Facility		$640.00	$640.00	$791.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.77 / $894.37 / $1,498.24	Professional		$682.77	$894.37	$1,498.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.04 / $858.04 / $1,014.05	Professional		$669.04	$858.04	$1,014.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $722.49 / $913.64 / $1,336.92	Facility		$722.49	$913.64	$1,336.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $845.00 / $971.06 / $1,341.00	Professional		$845.00	$971.06	$1,341.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $670.40 / $870.87 / $2,977.39	Facility		$670.40	$870.87	$2,977.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $670.40 / $870.87 / $2,977.39	Professional		$670.40	$870.87	$2,977.39
United Facility/Professional Facility Modifier Low / Median / High Price $5,061.00 / $8,168.00 / $17,187.00	Facility		$5,061.00	$8,168.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.26 / $843.29 / $1,316.85	Professional		$530.26	$843.29	$1,316.85