Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.24 / $5,087.00 / $8,294.00	Facility		$785.24	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.87 / $740.48 / $987.17	Professional		$620.87	$740.48	$987.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,007.00 / $8,164.00 / $12,873.00	Facility		$7,007.00	$8,164.00	$12,873.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.69 / $840.63 / $1,389.81	Professional		$649.69	$840.63	$1,389.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $692.57 / $775.68 / $2,014.38	Professional		$692.57	$775.68	$2,014.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $802.37	Facility		$640.00	$640.00	$802.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.55 / $870.12 / $1,536.35	Professional		$678.55	$870.12	$1,536.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.82 / $867.91 / $1,025.71	Professional		$677.82	$867.91	$1,025.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $717.83 / $908.92 / $1,325.76	Facility		$717.83	$908.92	$1,325.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $861.00 / $970.00 / $1,362.00	Professional		$861.00	$970.00	$1,362.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $677.83 / $881.18 / $3,053.15	Facility		$677.83	$881.18	$3,053.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $677.83 / $881.18 / $3,053.15	Professional		$677.83	$881.18	$3,053.15
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 $540.46 / $864.73 / $1,350.62	Professional		$540.46	$864.73	$1,350.62