Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.79 / $5,087.00 / $8,294.00	Facility		$618.79	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.19 / $573.00 / $805.60	Professional		$506.19	$573.00	$805.60
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 $498.17 / $637.04 / $1,053.23	Professional		$498.17	$637.04	$1,053.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $604.71 / $616.30 / $4,117.00	Professional		$604.71	$616.30	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $614.15 / $640.00	Facility		$614.15	$614.15	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.97 / $711.95 / $1,206.49	Professional		$527.97	$711.95	$1,206.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.34 / $663.48 / $780.87	Professional		$518.34	$663.48	$780.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $557.17 / $717.24 / $1,043.09	Facility		$557.17	$717.24	$1,043.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $782.58 / $1,076.00	Professional		$693.00	$782.58	$1,076.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $532.76 / $700.04 / $2,397.32	Facility		$532.76	$700.04	$2,397.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $532.76 / $700.04 / $2,397.32	Professional		$532.76	$700.04	$2,397.32
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 $425.16 / $657.22 / $1,055.83	Professional		$425.16	$657.22	$1,055.83