Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.70 / $3,645.00 / $8,294.00	Facility		$741.70	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.57 / $693.34 / $925.20	Professional		$614.57	$693.34	$925.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.60 / $746.70 / $1,024.08	Professional		$576.60	$746.70	$1,024.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $675.38 / $679.21 / $5,895.00	Professional		$675.38	$679.21	$5,895.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.35 / $713.35 / $713.35	Facility		$713.35	$713.35	$713.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.05 / $752.75 / $1,257.76	Professional		$617.05	$752.75	$1,257.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.48 / $727.80 / $866.43	Professional		$658.48	$727.80	$866.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $614.57 / $762.45 / $1,214.03	Facility		$614.57	$762.45	$1,214.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $782.00 / $912.00 / $1,482.14	Professional		$782.00	$912.00	$1,482.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $629.46 / $843.01 / $5,502.98	Facility		$629.46	$843.01	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $629.46 / $843.01 / $5,502.98	Professional		$629.46	$843.01	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.08 / $673.44 / $1,135.18	Professional		$505.08	$673.44	$1,135.18