Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.43 / $5,087.00 / $8,920.00	Facility		$822.43	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.02 / $772.48 / $1,313.21	Professional		$652.02	$772.48	$1,313.21
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 $681.06 / $877.18 / $1,450.24	Professional		$681.06	$877.18	$1,450.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $773.20 / $838.30 / $4,646.00	Professional		$773.20	$838.30	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $838.09	Facility		$640.00	$640.00	$838.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.29 / $899.80 / $1,600.32	Professional		$709.29	$899.80	$1,600.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.09 / $907.23 / $1,072.18	Professional		$708.09	$907.23	$1,072.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $708.09 / $934.58 / $1,380.16	Facility		$708.09	$934.58	$1,380.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $1,027.00 / $1,388.00	Professional		$910.00	$1,027.00	$1,388.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $669.30 / $920.37 / $3,180.38	Facility		$669.30	$920.37	$3,180.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $669.30 / $920.37 / $3,180.38	Professional		$669.30	$920.37	$3,180.38
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.97 / $872.06 / $1,436.66	Professional		$562.97	$872.06	$1,436.66