Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.67 / $5,087.00 / $8,294.00	Facility		$900.67	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.44 / $835.26 / $1,227.69	Professional		$706.44	$835.26	$1,227.69
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 $733.79 / $950.27 / $1,571.08	Professional		$733.79	$950.27	$1,571.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $876.40 / $905.18 / $3,714.00	Professional		$876.40	$905.18	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $908.02	Facility		$640.00	$640.00	$908.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.90 / $978.58 / $1,751.93	Professional		$667.90	$978.58	$1,751.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.55 / $981.18 / $1,157.86	Professional		$766.55	$981.18	$1,157.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $730.80 / $984.90 / $1,486.54	Facility		$730.80	$984.90	$1,486.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,056.00 / $1,560.00	Professional		$794.00	$1,056.00	$1,560.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $590.35 / $966.83 / $1,967.32	Facility		$590.35	$966.83	$1,967.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $590.35 / $966.83 / $1,967.32	Professional		$590.35	$966.83	$1,967.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.38 / $862.82 / $1,750.80	Professional		$476.38	$862.82	$1,750.80