Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $5,087.00 / $8,294.00	Facility		$719.00	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.74 / $650.62 / $964.44	Professional		$596.74	$650.62	$964.44
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 $575.00 / $735.30 / $1,215.67	Professional		$575.00	$735.30	$1,215.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $672.64 / $739.90 / $4,117.00	Professional		$672.64	$739.90	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $711.98	Facility		$640.00	$640.00	$711.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.29 / $829.15 / $1,386.57	Professional		$619.29	$829.15	$1,386.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.40 / $774.91 / $904.18	Professional		$605.40	$774.91	$904.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $625.70 / $846.15 / $1,192.18	Facility		$625.70	$846.15	$1,192.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $804.00 / $927.00 / $1,335.35	Professional		$804.00	$927.00	$1,335.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $599.55 / $817.60 / $2,755.40	Facility		$599.55	$817.60	$2,755.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $599.55 / $817.60 / $2,755.40	Professional		$599.55	$817.60	$2,755.40
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 $503.28 / $790.77 / $1,252.28	Professional		$503.28	$790.77	$1,252.28