Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.84 / $5,087.00 / $8,294.00	Facility		$692.84	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.54 / $689.26 / $860.42	Professional		$480.54	$689.26	$860.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.55 / $774.60 / $1,280.64	Professional		$592.55	$774.60	$1,280.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.00 / $722.38 / $1,365.30	Professional		$691.00	$722.38	$1,365.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $735.78	Facility		$640.00	$640.00	$735.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.82 / $752.29 / $1,389.08	Professional		$585.82	$752.29	$1,389.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.48 / $800.84 / $946.45	Professional		$622.48	$800.84	$946.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.22 / $788.75 / $1,169.91	Facility		$602.22	$788.75	$1,169.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $634.00 / $827.00 / $1,212.00	Professional		$634.00	$827.00	$1,212.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $541.47 / $771.07 / $2,735.77	Facility		$541.47	$771.07	$2,735.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $541.47 / $771.07 / $2,735.77	Professional		$541.47	$771.07	$2,735.77
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 $474.75 / $754.03 / $1,206.72	Professional		$474.75	$754.03	$1,206.72