Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.72 / $5,087.00 / $8,294.00	Facility		$863.72	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.33 / $832.59 / $1,052.93	Professional		$703.33	$832.59	$1,052.93
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 $744.34 / $951.85 / $1,573.69	Professional		$744.34	$951.85	$1,573.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $805.46 / $902.12 / $3,714.00	Professional		$805.46	$902.12	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $902.97	Facility		$640.00	$640.00	$902.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.97 / $1,021.92 / $1,740.68	Professional		$763.97	$1,021.92	$1,740.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.70 / $985.73 / $1,164.96	Professional		$761.70	$985.73	$1,164.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $796.86 / $999.25 / $1,523.64	Facility		$796.86	$999.25	$1,523.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $907.00 / $1,067.00 / $1,494.00	Professional		$907.00	$1,067.00	$1,494.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $765.77 / $999.78 / $3,343.98	Facility		$765.77	$999.78	$3,343.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $765.77 / $999.78 / $3,343.98	Professional		$765.77	$999.78	$3,343.98
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 $602.91 / $950.56 / $1,503.52	Professional		$602.91	$950.56	$1,503.52