Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.37 / $5,293.00 / $14,112.00	Facility		$586.37	$5,293.00	$14,112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.51 / $586.37 / $779.40	Professional		$521.51	$586.37	$779.40
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 $476.97 / $609.94 / $1,008.41	Professional		$476.97	$609.94	$1,008.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $552.41 / $607.65 / $3,714.00	Professional		$552.41	$607.65	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.85 / $589.85 / $1,700.00	Facility		$589.85	$589.85	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.01 / $761.05 / $1,209.07	Professional		$510.01	$761.05	$1,209.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.57 / $636.89 / $736.40	Professional		$497.57	$636.89	$736.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $521.51 / $734.21 / $1,013.42	Facility		$521.51	$734.21	$1,013.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $767.09 / $912.00 / $1,208.00	Professional		$767.09	$912.00	$1,208.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $533.96 / $770.09 / $2,263.78	Facility		$533.96	$770.09	$2,263.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $533.96 / $770.09 / $2,263.78	Professional		$533.96	$770.09	$2,263.78
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 $427.50 / $689.34 / $1,072.22	Professional		$427.50	$689.34	$1,072.22