Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.77 / $3,633.00 / $8,920.00	Facility		$604.77	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.66 / $576.98 / $759.04	Professional		$480.66	$576.98	$759.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,726.00 / $9,527.62 / $13,270.04	Facility		$2,726.00	$9,527.62	$13,270.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.02 / $654.74 / $1,082.48	Professional		$506.02	$654.74	$1,082.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $619.86 / $659.26 / $4,039.00	Professional		$619.86	$659.26	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.67 / $625.67 / $640.00	Facility		$625.67	$625.67	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.91 / $667.11 / $1,186.34	Professional		$507.91	$667.11	$1,186.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.62 / $677.93 / $801.19	Professional		$528.62	$677.93	$801.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $569.90 / $700.88 / $1,001.16	Facility		$569.90	$700.88	$1,001.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $752.00 / $1,048.00	Professional		$660.00	$752.00	$1,048.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $515.70 / $678.27 / $2,357.26	Facility		$515.70	$678.27	$2,357.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $515.70 / $678.27 / $2,357.26	Professional		$515.70	$678.27	$2,357.26
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 $400.64 / $627.79 / $1,010.97	Professional		$400.64	$627.79	$1,010.97