Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.79 / $5,087.00 / $8,294.00	Facility		$755.79	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.50 / $712.64 / $918.95	Professional		$599.50	$712.64	$918.95
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 $636.76 / $832.37 / $1,376.15	Professional		$636.76	$832.37	$1,376.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $711.11 / $809.20 / $5,113.00	Professional		$711.11	$809.20	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $789.63	Facility		$640.00	$640.00	$789.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.97 / $871.24 / $1,506.14	Professional		$655.97	$871.24	$1,506.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $666.46 / $862.48 / $1,019.29	Professional		$666.46	$862.48	$1,019.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $666.50 / $844.34 / $1,304.13	Facility		$666.50	$844.34	$1,304.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $790.00 / $916.00 / $1,307.00	Professional		$790.00	$916.00	$1,307.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $653.41 / $859.50 / $2,887.42	Facility		$653.41	$859.50	$2,887.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $653.41 / $859.50 / $2,887.42	Professional		$653.41	$859.50	$2,887.42
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 $511.85 / $888.53 / $1,299.95	Professional		$511.85	$888.53	$1,299.95