Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.25 / $5,087.00 / $8,294.00	Facility		$652.25	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.22 / $632.19 / $1,058.01	Professional		$552.22	$632.19	$1,058.01
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 $522.88 / $677.14 / $1,119.51	Professional		$522.88	$677.14	$1,119.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $623.04 / $638.91 / $4,117.00	Professional		$623.04	$638.91	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $651.29	Facility		$640.00	$640.00	$651.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.40 / $785.51 / $1,269.25	Professional		$561.40	$785.51	$1,269.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.30 / $705.68 / $815.94	Professional		$551.30	$705.68	$815.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $584.77 / $770.85 / $1,070.46	Facility		$584.77	$770.85	$1,070.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $723.00 / $825.00 / $1,139.00	Professional		$723.00	$825.00	$1,139.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $568.97 / $751.35 / $2,522.17	Facility		$568.97	$751.35	$2,522.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $568.97 / $751.35 / $2,522.17	Professional		$568.97	$751.35	$2,522.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.26 / $739.96 / $1,178.41	Professional		$476.26	$739.96	$1,178.41