Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.35 / $5,087.00 / $8,294.00	Facility		$667.35	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.63 / $634.08 / $839.34	Professional		$541.63	$634.08	$839.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.14 / $719.58 / $1,189.68	Professional		$556.14	$719.58	$1,189.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $639.62 / $639.62 / $7,889.00	Professional		$639.62	$639.62	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $686.69	Facility		$640.00	$640.00	$686.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.75 / $759.48 / $1,308.71	Professional		$586.75	$759.48	$1,308.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.33 / $744.06 / $879.35	Professional		$580.33	$744.06	$879.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $587.59 / $775.18 / $1,127.54	Facility		$587.59	$775.18	$1,127.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $726.00 / $841.00 / $1,160.00	Professional		$726.00	$841.00	$1,160.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $582.64 / $754.44 / $2,600.53	Facility		$582.64	$754.44	$2,600.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $582.64 / $754.44 / $2,600.53	Professional		$582.64	$754.44	$2,600.53
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 $460.38 / $713.90 / $1,127.99	Professional		$460.38	$713.90	$1,127.99