Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.50 / $4,771.00 / $8,294.00	Facility		$644.50	$4,771.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.90 / $611.96 / $1,040.33	Professional		$506.90	$611.96	$1,040.33
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 $535.62 / $693.65 / $1,146.81	Professional		$535.62	$693.65	$1,146.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $637.30 / $665.91 / $5,113.00	Professional		$637.30	$665.91	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $665.11	Facility		$640.00	$640.00	$665.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.51 / $737.54 / $1,258.18	Professional		$565.51	$737.54	$1,258.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.11 / $723.33 / $854.84	Professional		$564.11	$723.33	$854.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $564.11 / $745.75 / $1,084.72	Facility		$564.11	$745.75	$1,084.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $811.00 / $1,132.00	Professional		$714.00	$811.00	$1,132.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $563.58 / $726.66 / $2,500.05	Facility		$563.58	$726.66	$2,500.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $563.58 / $726.66 / $2,500.05	Professional		$563.58	$726.66	$2,500.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.61 / $705.14 / $1,130.81	Professional		$442.61	$705.14	$1,130.81