Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.74 / $5,087.00 / $8,294.00	Facility		$817.74	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.80 / $771.37 / $1,021.42	Professional		$619.80	$771.37	$1,021.42
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 $684.41 / $875.21 / $1,446.98	Professional		$684.41	$875.21	$1,446.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $746.35 / $820.99 / $1,410.60	Professional		$746.35	$820.99	$1,410.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $835.48	Facility		$640.00	$640.00	$835.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.92 / $953.76 / $1,594.99	Professional		$691.92	$953.76	$1,594.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.87 / $904.26 / $1,068.67	Professional		$705.87	$904.26	$1,068.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $955.77 / $1,371.82	Facility		$754.00	$955.77	$1,371.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $842.87 / $1,015.00 / $1,368.00	Professional		$842.87	$1,015.00	$1,368.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $708.29 / $917.63 / $3,169.74	Facility		$708.29	$917.63	$3,169.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $708.29 / $917.63 / $3,169.74	Professional		$708.29	$917.63	$3,169.74
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $9,742.00 / $21,639.00	Facility		$6,398.00	$9,742.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.58 / $886.72 / $1,431.96	Professional		$561.58	$886.72	$1,431.96