Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.66 / $5,412.00 / $11,425.00	Facility		$826.66	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.26 / $771.19 / $1,130.38	Professional		$670.26	$771.19	$1,130.38
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 $685.64 / $876.78 / $1,449.58	Professional		$685.64	$876.78	$1,449.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $841.41 / $879.89 / $4,646.00	Professional		$841.41	$879.89	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $837.71	Facility		$640.00	$640.00	$837.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.89 / $937.18 / $1,607.01	Professional		$724.89	$937.18	$1,607.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.21 / $905.23 / $1,069.11	Professional		$707.21	$905.23	$1,069.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $771.19 / $973.73 / $1,443.74	Facility		$771.19	$973.73	$1,443.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,033.64 / $1,423.00	Professional		$912.00	$1,033.64	$1,423.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $713.87 / $939.76 / $3,193.69	Facility		$713.87	$939.76	$3,193.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $713.87 / $939.76 / $3,193.69	Professional		$713.87	$939.76	$3,193.69
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 $600.39 / $942.20 / $1,473.32	Professional		$600.39	$942.20	$1,473.32