Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.51 / $5,087.00 / $8,294.00	Facility		$698.51	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.45 / $659.41 / $1,012.83	Professional		$554.45	$659.41	$1,012.83
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 $579.11 / $747.49 / $1,235.82	Professional		$579.11	$747.49	$1,235.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $681.55 / $736.07 / $3,714.00	Professional		$681.55	$736.07	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $713.47	Facility		$640.00	$640.00	$713.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.29 / $824.63 / $1,367.13	Professional		$614.29	$824.63	$1,367.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.79 / $772.79 / $913.30	Professional		$602.79	$772.79	$913.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $652.98 / $826.66 / $1,200.99	Facility		$652.98	$826.66	$1,200.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $774.00 / $877.00 / $1,214.00	Professional		$774.00	$877.00	$1,214.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $605.16 / $783.63 / $2,933.34	Facility		$605.16	$783.63	$2,933.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $605.16 / $783.63 / $2,933.34	Professional		$605.16	$783.63	$2,933.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.27 / $801.55 / $1,257.86	Professional		$504.27	$801.55	$1,257.86