Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.32 / $3,645.00 / $8,294.00	Facility		$990.32	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.57 / $599.19 / $785.01	Professional		$497.57	$599.19	$785.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.10 / $678.71 / $1,122.10	Professional		$524.10	$678.71	$1,122.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $560.97 / $619.12 / $5,113.00	Professional		$560.97	$619.12	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $647.62	Facility		$572.00	$572.00	$647.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.55 / $686.77 / $1,229.09	Professional		$522.55	$686.77	$1,229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.45 / $702.57 / $830.31	Professional		$547.45	$702.57	$830.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $561.64 / $718.08 / $1,027.81	Facility		$561.64	$718.08	$1,027.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $634.00 / $773.00 / $1,086.00	Professional		$634.00	$773.00	$1,086.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $527.04 / $707.49 / $1,683.00	Facility		$527.04	$707.49	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $527.04 / $707.49 / $1,683.00	Professional		$527.04	$707.49	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,819.00 / $5,764.00	Facility		$1,629.00	$2,819.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.08 / $638.59 / $1,095.79	Professional		$415.08	$638.59	$1,095.79