Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $3,645.00 / $8,294.00	Facility		$1,088.00	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.42 / $662.58 / $860.16	Professional		$561.42	$662.58	$860.16
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 $602.13 / $780.89 / $1,291.04	Professional		$602.13	$780.89	$1,291.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $600.15 / $684.83 / $4,039.00	Professional		$600.15	$684.83	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $740.79	Facility		$572.00	$572.00	$740.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.84 / $808.78 / $1,401.60	Professional		$604.84	$808.78	$1,401.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.82 / $809.89 / $957.14	Professional		$625.82	$809.89	$957.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $589.35 / $779.30 / $1,212.52	Facility		$589.35	$779.30	$1,212.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $733.00 / $844.00 / $1,226.00	Professional		$733.00	$844.00	$1,226.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $603.39 / $802.45 / $1,693.22	Facility		$603.39	$802.45	$1,693.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $603.39 / $802.45 / $1,693.22	Professional		$603.39	$802.45	$1,693.22
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 $470.78 / $760.67 / $1,173.77	Professional		$470.78	$760.67	$1,173.77