Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.82 / $5,087.00 / $8,294.00	Facility		$826.82	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.10 / $774.02 / $1,036.58	Professional		$670.10	$774.02	$1,036.58
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 $688.10 / $879.93 / $1,454.78	Professional		$688.10	$879.93	$1,454.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $802.00 / $839.30 / $5,113.00	Professional		$802.00	$839.30	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $840.32	Facility		$640.00	$640.00	$840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.30 / $940.64 / $1,611.62	Professional		$727.30	$940.64	$1,611.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.56 / $908.24 / $1,072.94	Professional		$709.56	$908.24	$1,072.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $767.76 / $973.91 / $1,416.46	Facility		$767.76	$973.91	$1,416.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $911.00 / $1,030.00 / $1,428.00	Professional		$911.00	$1,030.00	$1,428.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $712.84 / $930.44 / $3,202.85	Facility		$712.84	$930.44	$3,202.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $712.84 / $930.44 / $3,202.85	Professional		$712.84	$930.44	$3,202.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.94 / $896.01 / $1,395.43	Professional		$566.94	$896.01	$1,395.43