Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.26 / $5,087.00 / $8,294.00	Facility		$734.26	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.60 / $695.20 / $892.98	Professional		$589.60	$695.20	$892.98
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 $630.01 / $810.37 / $1,339.78	Professional		$630.01	$810.37	$1,339.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $685.36 / $787.51 / $5,113.00	Professional		$685.36	$787.51	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $768.76	Facility		$640.00	$640.00	$768.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.55 / $852.42 / $1,468.17	Professional		$646.55	$852.42	$1,468.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $647.12 / $837.19 / $989.40	Professional		$647.12	$837.19	$989.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $663.60 / $830.19 / $1,272.22	Facility		$663.60	$830.19	$1,272.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $771.00 / $902.00 / $1,274.00	Professional		$771.00	$902.00	$1,274.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $644.04 / $841.26 / $1,744.92	Facility		$644.04	$841.26	$1,744.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $644.04 / $841.26 / $1,744.92	Professional		$644.04	$841.26	$1,744.92
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 $504.51 / $786.05 / $1,265.50	Professional		$504.51	$786.05	$1,265.50