Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.01 / $5,087.00 / $8,920.00	Facility		$768.01	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.67 / $722.90 / $964.18	Professional		$650.67	$722.90	$964.18
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 $641.38 / $820.19 / $1,356.02	Professional		$641.38	$820.19	$1,356.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $820.38 / $820.38 / $5,113.00	Professional		$820.38	$820.38	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $784.14	Facility		$640.00	$640.00	$784.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.78 / $963.34 / $1,502.16	Professional		$678.78	$963.34	$1,502.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.23 / $847.70 / $1,001.83	Professional		$662.23	$847.70	$1,001.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $722.90 / $911.05 / $1,405.46	Facility		$722.90	$911.05	$1,405.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $848.00 / $980.00 / $1,330.00	Professional		$848.00	$980.00	$1,330.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $687.04 / $918.29 / $2,985.19	Facility		$687.04	$918.29	$2,985.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $687.04 / $918.29 / $2,985.19	Professional		$687.04	$918.29	$2,985.19
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 $563.66 / $866.61 / $1,378.97	Professional		$563.66	$866.61	$1,378.97