Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.80 / $5,087.00 / $8,294.00	Facility		$797.80	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.88 / $751.75 / $1,004.25	Professional		$646.88	$751.75	$1,004.25
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 $660.32 / $854.38 / $1,412.54	Professional		$660.32	$854.38	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $777.59 / $815.70 / $3,714.00	Professional		$777.59	$815.70	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $815.40	Facility		$640.00	$640.00	$815.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.46 / $940.83 / $1,561.45	Professional		$698.46	$940.83	$1,561.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.71 / $881.75 / $1,042.07	Professional		$688.71	$881.75	$1,042.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $744.87 / $944.61 / $1,366.03	Facility		$744.87	$944.61	$1,366.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,004.25 / $1,385.00	Professional		$870.00	$1,004.25	$1,385.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $702.70 / $914.92 / $3,103.09	Facility		$702.70	$914.92	$3,103.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $702.70 / $914.92 / $3,103.09	Professional		$702.70	$914.92	$3,103.09
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 $549.29 / $877.02 / $1,372.18	Professional		$549.29	$877.02	$1,372.18