Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.96 / $5,087.00 / $8,294.00	Facility		$677.96	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.85 / $640.91 / $847.18	Professional		$551.85	$640.91	$847.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.61 / $726.66 / $1,201.38	Professional		$561.61	$726.66	$1,201.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $657.95 / $710.59 / $6,433.00	Professional		$657.95	$710.59	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $694.13	Facility		$640.00	$640.00	$694.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.58 / $801.23 / $1,323.84	Professional		$593.58	$801.23	$1,323.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.47 / $751.94 / $888.65	Professional		$586.47	$751.94	$888.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $634.79 / $793.21 / $1,172.88	Facility		$634.79	$793.21	$1,172.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $740.00 / $850.00 / $1,171.00	Professional		$740.00	$850.00	$1,171.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $563.91 / $768.17 / $2,630.63	Facility		$563.91	$768.17	$2,630.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $563.91 / $768.17 / $2,630.63	Professional		$563.91	$768.17	$2,630.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.71 / $742.36 / $1,175.74	Professional		$465.71	$742.36	$1,175.74