Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,561.00 / $8,294.00	Facility		$812.00	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.53 / $729.73 / $965.67	Professional		$626.53	$729.73	$965.67
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 $647.23 / $827.66 / $1,368.37	Professional		$647.23	$827.66	$1,368.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $726.60 / $791.18 / $2,635.00	Professional		$726.60	$791.18	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $792.33	Facility		$420.00	$420.00	$792.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.26 / $874.04 / $1,505.41	Professional		$676.26	$874.04	$1,505.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.27 / $857.97 / $1,013.96	Professional		$669.27	$857.97	$1,013.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $694.86 / $889.42 / $1,303.75	Facility		$694.86	$889.42	$1,303.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $969.83 / $1,335.00	Professional		$798.00	$969.83	$1,335.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $669.98 / $863.74 / $1,527.99	Facility		$669.98	$863.74	$1,527.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $669.98 / $863.74 / $1,527.99	Professional		$669.98	$863.74	$1,527.99
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.26 / $824.44 / $1,281.98	Professional		$533.26	$824.44	$1,281.98