Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.24 / $4,771.00 / $8,294.00	Facility		$975.24	$4,771.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.97 / $546.79 / $906.80	Professional		$434.97	$546.79	$906.80
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 $509.23 / $651.20 / $1,076.61	Professional		$509.23	$651.20	$1,076.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $554.76 / $636.55 / $3,019.00	Professional		$554.76	$636.55	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.76 / $617.76 / $640.00	Facility		$617.76	$617.76	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.13 / $688.18 / $1,169.74	Professional		$513.13	$688.18	$1,169.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $680.00 / $803.63	Professional		$525.45	$680.00	$803.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $652.71 / $1,000.64	Facility		$512.80	$652.71	$1,000.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $609.00 / $708.00 / $1,025.00	Professional		$609.00	$708.00	$1,025.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $502.03 / $677.72 / $1,683.00	Facility		$502.03	$677.72	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $502.03 / $677.72 / $1,683.00	Professional		$502.03	$677.72	$1,683.00
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 $396.23 / $669.18 / $982.34	Professional		$396.23	$669.18	$982.34