Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.97 / $5,048.00 / $8,294.00	Facility		$637.97	$5,048.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.23 / $606.66 / $1,176.05	Professional		$498.23	$606.66	$1,176.05
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 $537.51 / $687.36 / $1,136.41	Professional		$537.51	$687.36	$1,136.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $622.38 / $657.76 / $5,113.00	Professional		$622.38	$657.76	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $656.56	Facility		$640.00	$640.00	$656.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.04 / $753.49 / $1,248.81	Professional		$563.04	$753.49	$1,248.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.84 / $711.65 / $841.04	Professional		$554.84	$711.65	$841.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $740.21 / $1,110.21	Facility		$588.00	$740.21	$1,110.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $701.00 / $805.00 / $1,108.00	Professional		$701.00	$805.00	$1,108.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $556.28 / $721.29 / $2,679.37	Facility		$556.28	$721.29	$2,679.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $556.28 / $721.29 / $2,679.37	Professional		$556.28	$721.29	$2,679.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.28 / $705.79 / $1,099.80	Professional		$451.28	$705.79	$1,099.80