Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.00 / $4,771.00 / $10,391.00	Facility		$728.00	$4,771.00	$10,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.45 / $658.98 / $842.78	Professional		$457.45	$658.98	$842.78
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 $474.72 / $620.54 / $1,025.95	Professional		$474.72	$620.54	$1,025.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $525.69 / $594.76 / $3,714.00	Professional		$525.69	$594.76	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $883.51	Facility		$776.00	$776.00	$883.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.28 / $792.11 / $1,269.34	Professional		$515.28	$792.11	$1,269.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $749.10 / $969.42 / $1,145.68	Professional		$749.10	$969.42	$1,145.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $504.46 / $788.27 / $1,229.85	Facility		$504.46	$788.27	$1,229.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $837.00 / $998.00 / $1,376.17	Professional		$837.00	$998.00	$1,376.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $447.06 / $609.59 / $1,814.72	Facility		$447.06	$609.59	$1,814.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.14 / $903.20 / $2,713.64	Professional		$630.14	$903.20	$2,713.64
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 $516.79 / $827.25 / $1,234.99	Professional		$516.79	$827.25	$1,234.99