Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.58 / $3,645.00 / $8,294.00	Facility		$735.58	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.66 / $708.24 / $858.63	Professional		$599.66	$708.24	$858.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.62 / $736.09 / $1,046.05	Professional		$575.62	$736.09	$1,046.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $664.01 / $667.39 / $1,294.82	Professional		$664.01	$667.39	$1,294.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $701.32 / $1,568.92	Facility		$425.00	$701.32	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.65 / $796.57 / $1,308.03	Professional		$557.65	$796.57	$1,308.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.91 / $717.61 / $1,067.98	Professional		$580.91	$717.61	$1,067.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $644.87 / $811.67 / $1,236.69	Facility		$644.87	$811.67	$1,236.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $904.00 / $1,461.67	Professional		$800.00	$904.00	$1,461.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $628.96 / $795.81 / $1,429.82	Facility		$628.96	$795.81	$1,429.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $628.96 / $796.16 / $1,429.82	Professional		$628.96	$796.16	$1,429.82
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.37 / $742.01 / $1,209.58	Professional		$494.37	$742.01	$1,209.58